Elizabeth V Weise, R.N.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9646 Issued in FL

Practice address

2360 Madrid Ave SE
Palm Bay, FL 32909-6427

Phone

(321) 956-8141

Fax

(321) 768-1220

NPI assigned

Mar 6, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Above the Rest Assisted Living Facility LLC

  • Assisted Living Facility
  • Palm Bay, FL
  • NPI 1588102032
  NPD Authorized official

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1215278916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MADRID AVE SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096427",
            "telephone_number": "321-956-8141",
            "fax_number": "321-768-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MADRID AVE SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096427",
            "telephone_number": "321-956-8141",
            "fax_number": "321-768-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISE",
        "first_name": "ELIZABETH",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001156500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Watson-Edge, RN
• Eugene Wawrzyniak, MD
• We Care Eyecare LLC
• Tania Weibel
• Cecilia Ines Weinberg, RPH
• Gary M Weiss, MD
• Welcome Home Assisted Living Facility LLC
• Wellness I Am LLC
• Erica Wells, LCSW
• Sheryl A Welton, LCSW

• Assisted Living Facility in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.