Lenita Weathersby

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

041511278 Issued in IL

Practice address

6821 S Halsted St
Chicago, IL 60621-1833

Phone

(773) 651-3629

Fax

(773) 322-1599

NPI assigned

Apr 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1194412072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 YORK ST APT 1F",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062568",
            "telephone_number": "773-953-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606211833",
            "telephone_number": "773-651-3629",
            "fax_number": "773-322-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERSBY",
        "first_name": "LENITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IL",
            "license": "041511278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "beloved",
            "affiliation": "Y",
            "affiliationName": "Beloved Community Family Wellness Center",
            "address_1": "6821 S Halsted St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606211833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeremy Wearn, M.D.
• Charla Weatherby Trinidad, LCPC, BC-DMT
• Natalie Marie Weatherred, APRN-NP
• Allison Eva Weathers
• Hattie Weathers, L.P.N
• Nakeisha Nicole Weathersby, CNM, APN
• Tasha Marie Weathersby
• Arlean Weatherspoon
• Benetta Weatherspoon, RN
• A. Charlotta Weaver, MD

• General Practice Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.