Individual provider Active NPI

Susan Tasker-Weaver, MS,APRN,PMH,BC

  • Adult Psychiatric/Mental Health Registered Nurse
  • Cumberland, MD
National Provider Identifier
1427245307
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
R063139 Issued in MD
Practice address
907 Seton Dr
Cumberland, MD 21502-1817
Phone
(301) 777-0633
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X R063139 MD Primary

Addresses

Primary practice location

907 Seton Dr
Cumberland, MD 21502-1817

Mailing address

907 Seton Dr
Cumberland, MD 21502-1817
Phone (301) 777-0633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20110209000167 MD Practitioner - Certified Clinical Nurse Specialist (CNS) 8022207968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Counseling Ministries IncGroup PAC ID 2365587995, 5 clinicians

Practice addresses (Care Compare)

907 Seton Dr
Cumberland, MD 21502-1817
Phone (301) 777-0633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science

Organizations & group practices 1

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1427245307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SETON DR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021817",
            "telephone_number": "301-777-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SETON DR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021817",
            "telephone_number": "301-777-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASKER-WEAVER",
        "first_name": "SUSAN",
        "credential": "MS,APRN,PMH,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MD",
            "license": "R063139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.