Individual provider Active NPI

Valencia Weaver, NP-C APRN

  • Family Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1447448204
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN091813 Issued in GA
Practice address
497 Winn Way
Suite a-210
Decatur, GA 30030-1712
Phone
(404) 294-7033
Fax
(404) 296-4661
NPI assigned
Oct 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN091813 GA Primary

Addresses

Primary practice location

497 Winn Way
Suite a-210
Decatur, GA 30030-1712

Mailing address

497 Winn Way
Suite a-210
Decatur, GA 30030-1712
Phone (404) 294-7033

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1447448204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 WINN WAY",
            "address_2": "SUITE A-210",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301712",
            "telephone_number": "404-294-7033",
            "fax_number": "404-296-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 WINN WAY",
            "address_2": "SUITE A-210",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301712",
            "telephone_number": "404-294-7033",
            "fax_number": "404-296-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "VALENCIA",
        "credential": "NP-C APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN091813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.