Individual provider Active NPI

Katharine Lopez Weymouth, M.D.

  • Psychiatry Physician
  • Wilmington, DE
National Provider Identifier
1376735522
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C1-0008326 Issued in DE
Practice address
4001 Kennett Pike Ste 244
Wilmington, DE 19807-2029
Phone
(302) 566-5020
Fax
(302) 300-4666
NPI assigned
Aug 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C1-0008326 DE Primary

Addresses

Primary practice location

4001 Kennett Pike Ste 244
Wilmington, DE 19807-2029

Mailing address

4001 Kennett Pike Ste 244
Wilmington, DE 19807-2029
Phone (302) 566-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160729000023 DE Order and Referring Only - PsychiatryPractitioner - Psychiatry 0143253203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0008326DEMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1376735522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 KENNETT PIKE STE 244",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198072029",
            "telephone_number": "302-566-5020",
            "fax_number": "302-300-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KENNETT PIKE STE 244",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198072029",
            "telephone_number": "302-566-5020",
            "fax_number": "302-300-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYMOUTH",
        "first_name": "KATHARINE",
        "middle_name": "LOPEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C1-0008326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.