Active NPI
Elizabeth Weaver, ATC
- Athletic Trainer
- Marysville, WA
National Provider Identifier
1548638612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A160588149
- Practice address
- 11720 81St Ave NE
Marysville, WA 98271-7636 - Phone
- (425) 322-9320
- NPI assigned
- Sep 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | A160588149 | WA | Primary |
Addresses
Primary practice location
11720 81St Ave NE
Marysville, WA 98271-7636
Mailing address
11720 81St Ave NE
Marysville, WA 98271-7636
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
| License | State | Type | Specialty |
|---|---|---|---|
| A160588149 | WA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1548638612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11720 81ST AVE NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982717636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11720 81ST AVE NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982717636",
"telephone_number": "425-322-9320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "ELIZABETH",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-08",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "A160588149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, WA
- Washington Dental Corporation, PC (Smokey Point Smiles Dentistry)
- Washington Dental Corporation, PC (Marysville Modern Dentistry)
- Darren Keith Watkins, RC
- Kayla Watkins, CPM, LM
- Melody Jean Watson, PT
- Wendy L Webster, LMP
- Anne Theresa Weech, LMP
- Krysty Welch
- Stacie Marie Wells, ND
- Ruihao Wen, PHARM D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.