Individual provider Active NPI

Tonya Gayle Weaver, L..P.N.

  • Licensed Practical Nurse
  • Middletown, OH
National Provider Identifier
1447482054
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN090360 Issued in OH
Practice address
1178 Middletown Eaton Rd
Middletown, OH 45042-1521
Phone
(513) 422-8505
NPI assigned
Aug 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN090360 OH Primary

Addresses

Primary practice location

1178 Middletown Eaton Rd
Middletown, OH 45042-1521

Mailing address

1178 Middletown Eaton Rd
Middletown, OH 45042-1521
Phone (513) 422-8505

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
PN090360OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250208000000",
    "number": "1447482054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 MIDDLETOWN EATON RD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450421521",
            "telephone_number": "513-422-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 MIDDLETOWN EATON RD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450421521",
            "telephone_number": "513-422-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "TONYA",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "L..P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN090360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.