Individual provider Active NPI

Angela L Weaver

  • Private Vehicle
  • South Euclid, OH
National Provider Identifier
1306560990
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
JJT2949 Issued in OH
Practice address
880 Stuart Dr
South Euclid, OH 44121-3424
Phone
(440) 319-6238
NPI assigned
Sep 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X JKH2764 OH
Private Vehicle 347C00000X JJT2949 OH Primary

Addresses

Primary practice location

880 Stuart Dr
South Euclid, OH 44121-3424

Mailing address

880 Stuart Dr
South Euclid, OH 44121-3424
Phone (440) 319-6238

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wandwgroup@outlook.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
JJT2949OHMDPrivate Vehicle
JKH2764OHMDPrivate Vehicle

Practice roles

OrganizationSpecialtyStatusNew patients
W&W Investment Group Private Vehicle CurrentSince Oct 9, 2022 Accepting new patients

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": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1306560990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 STUART DR",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213424",
            "telephone_number": "440-319-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 STUART DR",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213424",
            "telephone_number": "440-319-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ANGELA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": "JKH2764",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": "JJT2949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wandwgroup@outlook.com",
            "affiliation": "N",
            "address_1": "880 Stuart Dr",
            "city": "South Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441213424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.