Individual provider Active NPI

Rebekah C Weaver, NP

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1417469958
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23344 Issued in TN
Practice address
2 Longview LN
Kingsport, TN 37660-4518
Phone
(423) 557-3153
NPI assigned
Oct 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23344 TN Primary
Registered Nurse 163W00000X 198508 TN

Addresses

Primary practice location

2 Longview LN
Kingsport, TN 37660-4518

Mailing address

2 Longview LN
Kingsport, TN 37660-4518
Phone (423) 557-3153

Other names 1

  • Rebecca C Ragan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180110000886 TN Practitioner - Nurse Practitioner 9032478425 Reassigns benefits to 1 organization
I20220503000841 VA Practitioner - Nurse Practitioner 9032478425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Preservation Services LLCGroup PAC ID 9537380746, 2 clinicians

Practice addresses (Care Compare)

340 Anderson Hollow Rd
Suite 200
Norton, VA 24273-1100
Phone (276) 679-1045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
198508TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates Inc Current Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Jul 6, 2021 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Jul 20, 2021 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Oct 23, 2017 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Oct 23, 2017 Accepting new patients

Locations

350 Blountville Hwy
Ste 105
Bristol, TN 37620
Phone (423) 797-5505

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

390 Kane St
Gate City, VA 24251
Phone (276) 386-3411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1417469958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LONGVIEW LN",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604518",
            "telephone_number": "423-557-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LONGVIEW LN",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604518",
            "telephone_number": "423-557-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "REBEKAH",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23344",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "198508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "RAGAN",
            "middle_name": "C",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.