Marlene Mayweathers, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0024178936 Issued in VA

Practice address

224D Cornwall St NW Ste 104
Leesburg, VA 20176-2700

Phone

(703) 779-0699

NPI assigned

Feb 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1285268441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224D CORNWALL ST NW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224D CORNWALL ST NW STE 104",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762700",
            "telephone_number": "703-779-0699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46440 Benedict Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201646602",
            "country_code": "US",
            "telephone_number": "703-444-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYWEATHERS",
        "first_name": "MARLENE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024178936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory C. Mayo, D.D.S.
• Ryan C Mayo, D.D.S.
• Shannon Wyn Mayo, CRNA
• Stephen J Mayo, D.D.S.
• Michelle Mays, MA, LPC, CSAT
• Gibson E Mazurkiewicz, LPC
• Karen Ann Mazzara, MS, LPC
• Giannina Montero McBryde, D.D.S.
• Lauren McCall, LPC
• Rana L McCallum, MS, LPC, LMHC

• Pediatric Nurse Practitioner in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.