Active NPI
Scott A Weber, R.D.
- Registered Dietitian
- Fulton, MI
National Provider Identifier
1174754030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 863225
- Practice address
- 1474 Mno Bmadzewen Way
Fulton, MI 49052 - Phone
- (269) 729-4422
- NPI assigned
- Jul 27, 2009
- Last updated
- Jul 27, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 863225 | MI | Primary |
Addresses
Primary practice location
1474 Mno Bmadzewen Way
Fulton, MI 49052
Mailing address
1932 Chandler Ave
Kalamazoo, MI 49004-1622
Phone (269) 567-3141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 863225 | MI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nottawaseppi Huron Band of the Potawatomi | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NHBP Health Department
- Federal Public Health Clinic/Center
- Wyoming, MI
- NPI 1770500548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248652800000",
"number": "1174754030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1932 CHANDLER AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490041622",
"telephone_number": "269-567-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1474 MNO BMADZEWEN WAY",
"city": "FULTON",
"state": "MI",
"postal_code": "49052",
"telephone_number": "269-729-4422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "SCOTT",
"middle_name": "A",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-27",
"last_updated": "2009-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "863225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fulton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.