Alexandria Mary Weaver, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

106472 Issued in OK

Practice address

2921 SW 89TH St
Oklahoma City, OK 73159-6332

Phone

(405) 757-7818

Fax

(405) 703-0645

NPI assigned

Jan 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.973232

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aky MD, LLC

  dba Just Kids Pediatrics

  • Pediatrics Physician
  • Moore, OK
  • NPI 1063846699
  NPD (past)
• Edmond Pediatrics

  • Pediatrics Physician
  • Edmond, OK
  • NPI 1548505258
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447758362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 891625",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731891625",
            "telephone_number": "405-735-9348",
            "fax_number": "405-703-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596332",
            "telephone_number": "405-757-7818",
            "fax_number": "405-703-0645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13913 N May Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731345035",
            "country_code": "US",
            "telephone_number": "405-757-7818",
            "fax_number": "405-703-0645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "731605833",
            "country_code": "US",
            "telephone_number": "405-757-7818",
            "fax_number": "405-703-0645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ALEXANDRIA",
        "middle_name": "MARY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OK",
            "license": "106472",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "106472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystle Kathleen Weast, M.S. SLP
• Debra Mae Weatherford, BSN, ARNP, CNSS
• Danna Rhnee Weathers, ARNP
• Atlantis Weatherton
• Vicki Weaver-Payne
• Brett Ray Weaver, DC
• Carrol R Weaver, PH.D.
• Hailey Beth Weaver, BHRS
• Ialiyah Weaver
• Jeffrey Nathaniel Weaver

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.