Individual provider Active NPI

Janet Raye Weber, FAMILY NURSE PRACTIT

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1316091408
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP804 Issued in AZ
Practice address
6365 E Tanque Verde Rd
Suite 120
Tucson, AZ 85715-3830
Phone
(520) 290-0300
Fax
(520) 290-5674
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP804 AZ Primary

Addresses

Primary practice location

6365 E Tanque Verde Rd
Suite 120
Tucson, AZ 85715-3830

Mailing address

6365 E Tanque Verde Rd
Suite 120
Tucson, AZ 85715-3830
Phone (520) 290-0300

Other identifiers 1

IdentifierTypeStateIssuer
P00600277OtherAZRR MEDICARE

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP804AZMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1316091408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6365 E TANQUE VERDE RD",
            "address_2": "SUITE 120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153830",
            "telephone_number": "520-290-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6365 E TANQUE VERDE RD",
            "address_2": "SUITE 120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153830",
            "telephone_number": "520-290-0300",
            "fax_number": "520-290-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JANET",
        "middle_name": "RAYE",
        "name_prefix": "Mrs.",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "NP804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00600277",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.