Individual provider Active NPI

Hannah Nicole Weakland

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1205559895
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
329672 Issued in NC
Practice address
3665 Ruffin Rd Ste 202
San Diego, CA 92123-1882
Phone
(858) 299-6900
Fax
(858) 227-9777
NPI assigned
Sep 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 329672 NC Primary

Addresses

Primary practice location

3665 Ruffin Rd Ste 202
San Diego, CA 92123-1882

Mailing address

3665 Ruffin Rd Ste 202
San Diego, CA 92123-1882
Phone (858) 299-6900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hweakland@abc-seniors.com Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
329672NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CDM Living Life, Inc. In Home Supportive Care CurrentSince Sep 25, 2022 Accepting new patients
One Twenty-Seven Inc In Home Supportive Care PastSince Sep 25, 2022 Accepting new patients

Locations

3665 Ruffin Rd
Ste 202
San Diego, CA 92123
Phone (858) 299-6900

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1205559895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 RUFFIN RD STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231882",
            "telephone_number": "858-299-6900",
            "fax_number": "858-227-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 RUFFIN RD STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231882",
            "telephone_number": "858-299-6900",
            "fax_number": "858-227-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAKLAND",
        "first_name": "HANNAH",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "329672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hweakland@abc-seniors.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3665 Ruffin Rd Ste 202",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921231882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.