Jennifer Weatherford

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

255621 Issued in AZ

Practice address

4365 E Pecos Rd Ste 138
Gilbert, AZ 85295-8053

Phone

(480) 322-1415

NPI assigned

Mar 12, 2021

Last updated

Jan 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Willamson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cognitive Wellness Solutions

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
  • NPI 1114590072
  NPD Authorized official

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1194300038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 E PECOS RD STE 138",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958053",
            "telephone_number": "480-322-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 E PECOS RD STE 138",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958053",
            "telephone_number": "480-322-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERFORD",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "255621",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN153387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WILLAMSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wav Mobility Consultants, LLC
• Waves of ABA, LLC
• Wayfinder Psychiatry and Wellness LLC (Wayfinder Psychiatry and Wellness)
• Wayne G. Thorpe, DDS
• We Care Osteopathic Wellness Center, P.C. (We Care Family Wellness Center)
• Jasenia Weathers
• Kyle Justin Weaver
• Angela Webb, DNP, FNP-C
• Susan Marie Webb, LMSW
• Cassandra Weber

• Psychiatric/Mental Health Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.