Active NPI
Dream Weaver Anesthesia LLC
- Certified Registered Nurse Anesthetist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- DREAM WEAVER ANESTHESIA LLC
- Practice address
- 9729 E 79TH St
Tulsa, OK 74133-4566 - Phone
- (918) 250-5030
- NPI assigned
- Oct 16, 2023
- Last updated
- Nov 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Caitlin Weaver, DNP-A
- Title
- Owner
- Phone
- (918) 282-9266
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
9729 E 79TH St
Tulsa, OK 74133-4566
Mailing address
1601 S Lewis PL
Tulsa, OK 74104-5122
Phone (918) 282-9266
Other practice location 1
427 W Doolin Ave
Blackwell, OK 74631-1602
Phone (580) 670-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538684428 | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
427 W Doolin Ave
Blackwell, OK 74631
Phone (580) 670-9100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Certified Registered Nurse Anesthetist
- Tulsa, OK
- NPI 1538684428
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698969600000",
"number": "1588446678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 S LEWIS PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741045122",
"telephone_number": "918-282-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9729 E 79TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741334566",
"telephone_number": "918-250-5030"
}
],
"practiceLocations": [
{
"address_1": "427 W Doolin Ave",
"address_purpose": "LOCATION",
"city": "Blackwell",
"state": "OK",
"postal_code": "746311602",
"country_code": "US",
"telephone_number": "580-670-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DREAM WEAVER ANESTHESIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-16",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A",
"authorized_official_last_name": "WEAVER",
"authorized_official_first_name": "CAITLIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-282-9266",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP-A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538684428",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.