Individual provider Active NPI

Brooke Marie Weaver, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbury, TN
National Provider Identifier
1235899436
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
30769 Issued in TN
Practice address
275 Cheek LN
Woodbury, TN 37190-8530
Phone
(615) 653-0768
NPI assigned
Dec 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 30769 TN Primary

Addresses

Primary practice location

275 Cheek LN
Woodbury, TN 37190-8530

Mailing address

275 Cheek LN
Woodbury, TN 37190-8530
Phone (615) 653-0768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220218000540 TN Practitioner - Nurse Practitioner 0648664565 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville TMS PLLC Current Accepting new patients
Nashville TMS PLLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

1725 Medical Center Pkwy
Ste 215
Murfreesboro, TN 37129
Phone (615) 465-4875

30 Burton Hills Blvd
Ste 360
Nashville, TN 37215
Phone (615) 327-4877

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1235899436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CHEEK LN",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371908530",
            "telephone_number": "615-653-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CHEEK LN",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371908530",
            "telephone_number": "615-653-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "BROOKE",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "30769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, TN

Sources for this page

Verify at the official NPI Registry.