Roland Weathers

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4218 N Grand Blvd
Saint Louis, MO 63107-1806

Phone

(314) 534-6624

Fax

(314) 535-4394

NPI assigned

Dec 7, 2022

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Rosati Group Home

  • Case Manager/Care Coordinator
  • Saint Louis, MO
  • NPI 1962379073
  NPD
• St. Patrick Center

  • Case Management Agency
  • Saint Louis, MO
  • NPI 1679025290
  NPD (past)

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1609587096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 N GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631071804",
            "telephone_number": "314-534-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 N GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631071806",
            "telephone_number": "314-534-6624",
            "fax_number": "314-535-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERS",
        "first_name": "ROLAND",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desha C Wear, MD
• Jennifer Lynn Wear, PHARM.D.
• Nicole Elizabeth Wear
• Mary Elizabeth Weatherford, PH.D.
• Carrie Weatherholt, R.D., L.D.
• Stephanie Weatherspoon, LPC
• Weaver & Associates Counseling Services Inc
• Elizabeth Marie Weaver, AUD
• Helen Weaver, NNP
• Luke James Weaver, D.O.

• Case Manager/Care Coordinator in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Case Manager/Care Coordinator in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.