The People'S Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71002758A Issued in IN

Legal business name

THE PEOPLE'S CLINIC

Practice address

5218 Beck Dr
Suite 12
Elkhart, IN 46516-9121

Phone

(574) 361-9338

NPI assigned

Jul 20, 2010

Organization subpart

No

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

Authorized official

Name

Kristine M Weaver, MSN, FNP-BC

Title

Owner

Phone

(574) 361-9338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1619280666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5218 BECK DR",
            "address_2": "SUITE 12",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169121",
            "telephone_number": "574-361-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5218 BECK DR",
            "address_2": "SUITE 12",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169121",
            "telephone_number": "574-361-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEOPLE'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-361-9338",
        "authorized_official_credential": "MSN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002758A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.