NPIMap

Organization Active NPI

Weaver Family Practice, Inc.

  • Family Nurse Practitioner
  • Old Hickory, TN
National Provider Identifier
1174615454
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
WEAVER FAMILY PRACTICE, INC.
Practice address
4962 Lebanon Pike
Old Hickory, TN 37138-4126
Phone
(615) 874-3422
Fax
(615) 874-3465
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennifer E. J. Weaver, APN
Title
Owner
Phone
(615) 874-3422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4962 Lebanon Pike
Old Hickory, TN 37138-4126

Mailing address

4962 Lebanon Pike
Old Hickory, TN 37138-4126
Phone (615) 874-3422

National Provider Directory

National Provider Directory

Locations

4962 Lebanon Pike
Old Hickory, TN 37138
Phone (615) 874-3422

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174615454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4962 LEBANON PIKE",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371384126",
            "telephone_number": "615-874-3422",
            "fax_number": "615-874-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4962 LEBANON PIKE",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371384126",
            "telephone_number": "615-874-3422",
            "fax_number": "615-874-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEAVER FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E. J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-874-3422",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Hickory, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.