Individual provider Active NPI

Leilani C Weaver, ARNP

  • Nurse Practitioner
  • Colfax, WA
National Provider Identifier
1316515943
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61142556 Issued in WA
Practice address
1210 W Fairview St
Colfax, WA 99111-9552
Phone
(509) 397-4717
Fax
(509) 397-3501
NPI assigned
Jun 10, 2021
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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 AP61142556 WA Primary

Addresses

Primary practice location

1210 W Fairview St
Colfax, WA 99111-9552

Mailing address

1210 W Fairview St
Colfax, WA 99111-9552
Phone (509) 397-4717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210825001564 WA Practitioner - Nurse Practitioner 1355746652 Reassigns benefits to 2 organizations
I20250910004283 ID Practitioner - Nurse Practitioner 1355746652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Provider GroupGroup PAC ID 2264773373, 52 clinicians

Practice addresses (Care Compare)

1200 W Fairview St
Colfax, WA 99111-9552
Phone (509) 397-3435

2201 Thain Grade
Lewiston, ID 83501-4118
Phone (208) 717-3100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Provider Group CurrentSince Aug 25, 2025 Accepting new patients
Urgent Care Associates PLLC Current Accepting new patients
Whitman Medical Group PS CurrentSince Jun 15, 2021 Accepting new patients
Sterling Provider Group CurrentSince Aug 25, 2025 Accepting new patients
Public Hospital District No 3 of Whitman County CurrentSince Dec 2, 2021 Accepting new patients

Locations

740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111

2201 Thain Grade
Lewiston, ID 83501
Phone (208) 717-3100

1200 W Fairview St
Colfax, WA 99111
Phone (509) 397-3435

1210 W Fairview St
Colfax, WA 99111
Phone (509) 397-4717

Organizations & group practices 5

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 2

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1316515943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 W FAIRVIEW ST",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "991119552",
            "telephone_number": "509-397-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W FAIRVIEW ST",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "991119552",
            "telephone_number": "509-397-4717",
            "fax_number": "509-397-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "LEILANI",
        "middle_name": "C",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61142556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colfax, WA

Sources for this page

Verify at the official NPI Registry.