Weston Mavis

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HCP Issued in OH

Practice address

19940 County Road 25a
Wapakoneta, OH 45895-7729

Phone

(567) 356-6064

NPI assigned

Dec 19, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1174391072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19940 COUNTY ROAD 25A",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458957729",
            "telephone_number": "567-356-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19940 COUNTY ROAD 25A",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458957729",
            "telephone_number": "567-356-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVIS",
        "first_name": "WESTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "HPC",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "HCP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew M. Jose, M.D., Inc
• Clint Mathewson
• Christopher W Mavis
• Jaidyn Marie Mavis, INDEPENDENT PROVIDER
• Tiffanie Marie Mavis
• Vickie McClintock
• Brittany McDonald
• Andrea McGee
• Heather Ann Melton
• Elaine Mertz

• Home Health Aide in Wapakoneta, OH
• Providers in Wapakoneta, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.