Individual provider Active NPI

Natasha Thaisa Weathers, FNP

  • Family Nurse Practitioner
  • N Charleston, SC
National Provider Identifier
1396236170
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21860 Issued in SC
Practice address
9313 Medical Plaza Dr Ste 103
N Charleston, SC 29406-9802
Phone
(843) 790-8280
Fax
(843) 974-8500
NPI assigned
May 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21860 SC Primary

Addresses

Primary practice location

9313 Medical Plaza Dr Ste 103
N Charleston, SC 29406-9802

Mailing address

9313 Medical Plaza Dr Ste 103
N Charleston, SC 29406-9802
Phone (843) 790-8280

Other practice location 1

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-1414

Other practice location 2

1176 Sam Rittenberg, Ste 100
Charleston, SC 29407
Phone (843) 790-8280

Other practice location 3

404 Brighton Park Blvd Ste 101
Summerville, SC 29486-3058
Phone (843) 790-8280

Other practice location 4

1300 Hospital Dr Ste 170
Mount Pleasant, SC 29464-3243
Phone (843) 790-8280

Other practice location 5

1176 Sam Rittenberg, Ste 100
Charleston, SC 29407
Phone (843) 790-8280

Other practice location 6

86 Jonathan Lucas St
Charleston, SC 29425-8900
Phone (843) 792-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181204001607 SC Practitioner - Nurse Practitioner 1254675150 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowcountry Oncology Associates LLCGroup PAC ID 4688113723, 13 clinicians

Practice addresses (Care Compare)

9313 Medical Plaza Dr
Suite 103
North Charleston, SC 29406-9802
Phone (843) 790-8280

Hospital & facility affiliations

  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
  • Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Roper Hospital Hospital, Charleston, SC, CCN 420087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St Francis Xavier Hospital, Inc. Current Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Bon Secours St. Francis Xavier Hosptial, Inc. CurrentSince Feb 13, 2023 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Feb 13, 2023 Accepting new patients
Lowcountry Oncology Associates, LLC CurrentSince Oct 1, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Oct 11, 2018 Accepting new patients
University Medical Associates CurrentSince Oct 11, 2018 Accepting new patients

Locations

2085 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 577-6957

2085 Henry Tecklenburg Dr
Fl 2
Charleston, SC 29414
Phone (843) 577-6957

1176 Sam Rittenberg Blvd
Ste 100
Charleston, SC 29407
Phone (843) 790-8280

86 Jonathan Lucas St
Charleston, SC 29425
Phone (843) 792-9300

1176 Sam Rittenberg Blvd
#100
Charleston, SC 29407

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

1300 Hospital Dr
Ste 170
Mount Pleasant, SC 29464
Phone (843) 790-8280

8950 University Blvd
Ste 100
North Charleston, SC 29406
Phone (843) 402-5053

9313 Medical Plaza Dr
Ste 103
North Charleston, SC 29406
Phone (843) 790-8280

404 Brighton Park Blvd
Ste 101
Summerville, SC 29486
Phone (843) 790-8280

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1527465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1396236170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR STE 103",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069802",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR STE 103",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069802",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29425",
            "country_code": "US",
            "telephone_number": "843-792-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1176 Sam Rittenberg, Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29407",
            "country_code": "US",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 Brighton Park Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294863058",
            "country_code": "US",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Hospital Dr Ste 170",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643243",
            "country_code": "US",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1176 Sam Rittenberg, Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29407",
            "country_code": "US",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "86 Jonathan Lucas St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294258900",
            "country_code": "US",
            "telephone_number": "843-792-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERS",
        "first_name": "NATASHA",
        "middle_name": "THAISA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-28",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

Verify at the official NPI Registry.