Individual provider Active NPI

Janice Darlene Weaver

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Grafton, WV
National Provider Identifier
1205427739
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Practice address
917 W Main St
Grafton, WV 26354-1027
Phone
(681) 209-3149
NPI assigned
Jan 28, 2021
Last updated
Jan 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

917 W Main St
Grafton, WV 26354-1027

Mailing address

687 Killarney Dr Apt E
Morgantown, WV 26505-2447

Other practice location 1

444 Dunkard Ave
Westover, WV 26501-4114
Phone (681) 209-3149

Other practice location 2

687 Killarney Dr Apt E
Morgantown, WV 26505-2447
Phone (681) 209-3149

Other identifiers 1

IdentifierTypeStateIssuer
C214065OtherWVDMV

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 6812093149 Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1205427739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 KILLARNEY DR APT E",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 W MAIN ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541027",
            "telephone_number": "681-209-3149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 Dunkard Ave",
            "address_purpose": "LOCATION",
            "city": "Westover",
            "state": "WV",
            "postal_code": "265014114",
            "country_code": "US",
            "telephone_number": "681-209-3149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "687 Killarney Dr Apt E",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265052447",
            "country_code": "US",
            "telephone_number": "681-209-3149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JANICE",
        "middle_name": "DARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMV",
            "identifier": "C214065",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "6812093149",
            "affiliation": "N",
            "endpointDescription": "Cell phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "messaging",
            "address_1": "917 W Main St",
            "city": "Grafton",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263541027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grafton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.