Individual provider Active NPI

Renee Ann Weir-Fisher, D.C.

  • Chiropractor
  • Iowa City, IA
National Provider Identifier
1184691719
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06566 Issued in IA
Practice address
702 S Gilbert St
Suite 108
Iowa City, IA 52240-1738
Phone
(319) 248-1111
Fax
(319) 248-1111
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06566 IA Primary

Addresses

Primary practice location

702 S Gilbert St
Suite 108
Iowa City, IA 52240-1738

Mailing address

702 S Gilbert St
Suite 108
Iowa City, IA 52240-1738
Phone (319) 248-1111

Other identifiers 1

IdentifierTypeStateIssuer
24277OtherIABLUE CROSS PROVIDER

Other names 1

  • Renee Ann Weir Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
06566IAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1184691719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 S GILBERT ST",
            "address_2": "SUITE 108",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522401738",
            "telephone_number": "319-248-1111",
            "fax_number": "319-248-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S GILBERT ST",
            "address_2": "SUITE 108",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522401738",
            "telephone_number": "319-248-1111",
            "fax_number": "319-248-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIR-FISHER",
        "first_name": "RENEE",
        "middle_name": "ANN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "24277",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "WEIR",
            "middle_name": "ANN",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.