Active NPI
Georgiann Weaver, CNM
- Advanced Practice Midwife
- Fayetteville, AR
National Provider Identifier
1194938381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- M002128
- Practice address
- 525 N Garland Ave
Fayetteville, AR 72701-3110 - Phone
- (479) 575-4478
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | ARNP9162426 | FL | |
| Advanced Practice Midwife | 367A00000X | ARNP 9162426 | FL | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | ARNP 9162426 | FL | |
| Advanced Practice Midwife | 367A00000X | M002128 | AR | Primary |
Addresses
Primary practice location
525 N Garland Ave
Fayetteville, AR 72701-3110
Mailing address
525 N Garland Ave
Fayetteville, AR 72701-3110
Phone (479) 575-4478
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
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9162426 | FL | MD | Obstetrics & Gynecology Nurse Practitioner |
| M002128 | AR | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1194938381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 N GARLAND AVE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727013110",
"telephone_number": "479-575-4478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N GARLAND AVE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727013110",
"telephone_number": "479-575-4478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "GEORGIANN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "ARNP9162426",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "ARNP 9162426",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "FL",
"license": "ARNP 9162426",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AR",
"license": "M002128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.