Jacqueline Christine Weaver, D.C.
Individual provider Active NPI Chiropractor · Abilene, TX
NPI 1407097702 · NPPES record last updated May 22, 2019
Key facts
- NPI
- 1407097702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 11139 (TX)
- Practice address
- 4526 Buffalo Gap Rd
Abilene, TX 79606-2704 - Phone
- (325) 692-7400
- Fax
- (325) 692-7402
- NPI assigned
- Mar 16, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4526 Buffalo Gap Rd
Abilene, TX 79606-2704
Phone (325) 692-7400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090930000143 | TX | Practitioner - Chiropractic | 8527104827 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abilene Chiropractic PC | Chiropractor | Current |
Accepting new patients |
| Peak Performance Rehabilitation and Wellness Center, PLLC | Chiropractor | Past |
Accepting new patients |
Locations
4526 Buffalo Gap Rd
Abilene, TX 79606
Phone (325) 692-7400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11139 | TX | Yes |
Addresses
Primary practice location
4526 Buffalo Gap Rd
Abilene, TX 79606-2704
Mailing address
4526 Buffalo Gap Rd
Abilene, TX 79606-2704
Phone (325) 692-7400
NPI Registry JSON
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1407097702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4526 BUFFALO GAP RD",
"city": "ABILENE",
"state": "TX",
"postal_code": "796062704",
"telephone_number": "325-692-7400",
"fax_number": "325-692-7402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4526 BUFFALO GAP RD",
"city": "ABILENE",
"state": "TX",
"postal_code": "796062704",
"telephone_number": "325-692-7400",
"fax_number": "325-692-7402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "JACQUELINE",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-16",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.