Individual provider Active NPI

Deana Nicole Weaver, CNM

  • Obstetrics Physician
  • Fairfield, OH
National Provider Identifier
1346955705
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
CNM08341 Issued in OH
Practice address
41 Twin Lakes Dr
Fairfield, OH 45014-5251
Phone
(513) 344-8527
NPI assigned
Jan 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X CNM08341 OH Primary

Addresses

Primary practice location

41 Twin Lakes Dr
Fairfield, OH 45014-5251

Mailing address

41 Twin Lakes Dr
Fairfield, OH 45014-5251
Phone (513) 344-8527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111003848 OH Practitioner - Certified Nurse Midwife (CNM) 2961853114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of Cincinnati College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Five Rivers Health CentersGroup PAC ID 9335300904, 45 clinicians

Practice addresses (Care Compare)

721 Miami Chapel Rd
Dayton, OH 45417-4650
Phone (937) 281-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CNM08341OHMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Five Rivers Health Centers Current Accepting new patients
Five Rivers Health Centers CurrentSince Dec 28, 2023 Accepting new patients
Five Rivers Health Centers CurrentSince Dec 28, 2023 Accepting new patients

Locations

2261 Philadelphia Dr
Dayton, OH 45406
Phone (937) 281-6800

721 Miami Chapel Rd
Dayton, OH 45417
Phone (937) 281-5970

Organizations & group practices 3

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": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1346955705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 TWIN LAKES DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145251",
            "telephone_number": "513-344-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 TWIN LAKES DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145251",
            "telephone_number": "513-344-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "DEANA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OH",
            "license": "CNM08341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.