Heather Leann Weaver, RN
Individual provider Active NPI Home Health Registered Nurse · Deer Lodge, TN
NPI 1629699368 · NPPES record last updated May 5, 2020
Key facts
- NPI
- 1629699368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 0000182606 (TN)
- Practice address
- 112 Old Collins Tpke
Deer Lodge, TN 37726-4146 - Phone
- (423) 319-7308
- NPI assigned
- May 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000182606 | TN | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 0000182606 | TN | Yes |
Addresses
Primary practice location
112 Old Collins Tpke
Deer Lodge, TN 37726-4146
Mailing address
112 Old Collins Tpke
Deer Lodge, TN 37726-4146
Phone (423) 319-7308
Other providers in Deer Lodge, TN
All providers in Deer Lodge, TN · Home Health Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.