Tracy Lynn Weaver, CNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1012889 Issued in TX

Practice address

3101 N Tarrant Pkwy
Ft Worth, TX 76177-8601

Phone

(817) 639-1360

NPI assigned

Sep 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

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.

• Americare Medical Partners, PLLC

  • Infectious Disease Physician
  • Lewisville, TX
  • NPI 1346651072
  NPD (past)

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1417563941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 STONE CREEK TER",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761371926",
            "telephone_number": "513-827-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N TARRANT PKWY",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761778601",
            "telephone_number": "817-639-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1012889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Elizabeth Weaver, LVN
• Jonathan Weaver, PT, DPT
• Paige Weaver, PA-C
• Patrick Wayne Weaver, LPC
• Robert Bryan Weaver, PHARMD
• Vicki Webb-Baker
• Anita R Webb, PHD
• Brian Garry Webb, MD
• Carol S. Webb, CRNA
• Dortha Webb, LCDC

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.