Katherine J Weidenbach, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN114116 Issued in AZ

Practice address

9500 E Ironwood Square Dr Ste 110
Scottsdale, AZ 85258-4582

Phone

(480) 948-8400

Fax

(480) 948-8401

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Spectrum Dermatology, PLLC

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1922392398
  Medicare reassignment NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467481135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 E IRONWOOD SQUARE DR STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584582",
            "telephone_number": "480-948-8400",
            "fax_number": "480-948-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 E IRONWOOD SQUARE DR STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584582",
            "telephone_number": "480-948-8400",
            "fax_number": "480-948-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDENBACH",
        "first_name": "KATHERINE",
        "middle_name": "J",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN114116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatriz Olga Wege, AUD
• Connie Mae Weglarz, PT, DPT
• Heather Leann Wegley, M.S. C.C.C.
• Nicholas Wegman, MA, T-LAC
• Jill R Weideman, ARNP
• Nicole Catherine Weidow, DO
• Sara Anne Weigand
• Ethel Jennifer Weil, MD
• Dennis Edward Weiland, M.D.
• Mackenzie A Weiler, LAC

• Family Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.