Individual provider Active NPI

Michelle Rae Weaver, RD, LD

  • Registered Dietitian
  • Midland, TX
National Provider Identifier
1437319902
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DTO7377 Issued in TX
Practice address
921 N Bentwood Dr
Apt B
Midland, TX 79703-5689
Phone
(432) 553-3731
Fax
(432) 699-4699
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DTO7377 TX Primary

Addresses

Primary practice location

921 N Bentwood Dr
Apt B
Midland, TX 79703-5689

Mailing address

921 N Bentwood Dr
Apt B
Midland, TX 79703-5689
Phone (432) 553-3731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DTO7377TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1437319902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 N BENTWOOD DR",
            "address_2": "APT B",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797035689",
            "telephone_number": "432-553-3731",
            "fax_number": "432-699-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 N BENTWOOD DR",
            "address_2": "APT B",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797035689",
            "telephone_number": "432-553-3731",
            "fax_number": "432-699-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "MICHELLE",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DTO7377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.