Christina Ann Weise, M.S. BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

606 South Jefferson
Mascoutah, IL 62258-2615

Phone

(618) 566-4200

Fax

(618) 566-3700

NPI assigned

May 28, 2009

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

Master of Science

Practice roles

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.

• Preferred Podiatry Group PC

  • Podiatrist
  • Oak Harbor, WA
  • NPI 1720037138
  NPD (past)

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1336374867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTH GOUGAR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604329787",
            "telephone_number": "618-566-4200",
            "fax_number": "618-566-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 SOUTH JEFFERSON",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582615",
            "telephone_number": "618-566-4200",
            "fax_number": "618-566-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISE",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "credential": "M.S. BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Services Inc.
• Vorhees Wellness Center
• Jennipher Ann Vorhees, LCPC
• Jessi Weber, RPH
• Judith K Weis, M.D.
• Abby Wesselmann
• Heidi Jo Westra, DC
• Paige Whipple
• Kelly M Whitaker, NP
• Kristin Nicole Wilmes

• Behavior Analyst in Mascoutah, IL
• Providers in Mascoutah, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.