Laurel R Weakley, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

130208 Issued in CO

Practice address

1401 S Main St Ste 2
Lamar, CO 81052-3821

Phone

(719) 336-0315

NPI assigned

Sep 2, 2006

Last updated

Jun 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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 CO

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

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1548362148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S MAIN ST STE 2",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523821",
            "telephone_number": "719-336-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S MAIN ST STE 2",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523821",
            "telephone_number": "719-336-0315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Kendall Dr",
            "address_purpose": "LOCATION",
            "city": "LaMar",
            "state": "CO",
            "postal_code": "810523953",
            "country_code": "US",
            "telephone_number": "719-336-6767",
            "fax_number": "719-336-7217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAKLEY",
        "first_name": "LAUREL",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "130208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landi Gayle Wagner, BS
• Walmart Inc. (Walmart Pharmacy 10-2672)
• Johnathon Ward
• Patricia Ward
• Wayne Hudson DO Integrated Medical Practice PLLC
• Richard Allen Weakley
• Barbara Joellen Weed, APN
• Daniel James Wessel, PHARMD
• Yvonne Westhoff, RDH
• Heather Whisenand

• Nurse Practitioner in Lamar, CO
• Providers in Lamar, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.