Active NPI
Jamie Alysse Weiner, DNP, FNP-C
- Family Nurse Practitioner
- Clinton, NC
National Provider Identifier
1255016408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5018317
- Practice address
- 403 Fairview St
Clinton, NC 28328-2399 - Phone
- (910) 592-6011
- NPI assigned
- Jun 15, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5018317 | NC | Primary |
Addresses
Primary practice location
403 Fairview St
Clinton, NC 28328-2399
Mailing address
403 Fairview St
Clinton, NC 28328-2399
Phone (910) 592-6011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5018317 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Medical Clinic, Inc. | Family | Current | Accepting new patients |
Locations
404 Fairview St
Clinton, NC 28328
Phone (910) 592-6011
403 Fairview St
Clinton, NC 28328
Phone (910) 590-0619
Interoperability endpoints
- jamieweiner@cmci.allscriptsdirect.net
Organizations & group practices 1
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": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1255016408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 FAIRVIEW ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282399",
"telephone_number": "910-592-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 FAIRVIEW ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282399",
"telephone_number": "910-592-6011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "JAMIE",
"middle_name": "ALYSSE",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5018317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.