Individual provider Active NPI

Sydney Weaver, APRN-CNP

  • Adult Health Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1275007932
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
202421 Issued in LA
Practice address
300 W Saint Mary Blvd
Lafayette, LA 70506-4638
Phone
(337) 233-6593
Fax
(337) 235-1032
NPI assigned
Jan 16, 2019
Last updated
Jan 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 202421 LA Primary

Addresses

Primary practice location

300 W Saint Mary Blvd
Lafayette, LA 70506-4638

Mailing address

300 W Saint Mary Blvd
Lafayette, LA 70506-4638
Phone (337) 233-6593

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190320001370 LA Practitioner - Nurse Practitioner 7012257520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

1000 W Pinhook Rd
Lafayette, LA 70503-2460

1211 Coolidge Blvd
Lafayette, LA 70503-2637

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7374

4212 W Congress St
Lafayette, LA 70506-6765

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
202421LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince Aug 26, 2024 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Aug 26, 2024 Accepting new patients
Acadiana Renal Physicians AMC CurrentSince Feb 18, 2019 Accepting new patients

Locations

1211 Coolidge Blvd
Ste 301
Lafayette, LA 70503
Phone (337) 261-1919

300 W Saint Mary Blvd
Lafayette, LA 70506
Phone (337) 233-1542

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1275007932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W SAINT MARY BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064638",
            "telephone_number": "337-233-6593",
            "fax_number": "337-235-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W SAINT MARY BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064638",
            "telephone_number": "337-233-6593",
            "fax_number": "337-235-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "SYDNEY",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "202421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.