Sarah Weaver, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

4704283734 Issued in MI

Practice address

1256 Walker Ave NW
Grand Rapids, MI 49504-4067

Phone

(616) 235-2910

Fax

(616) 235-1436

NPI assigned

Mar 21, 2014

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1639596133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 WALKER AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044067",
            "telephone_number": "616-235-2910",
            "fax_number": "616-235-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 WALKER AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044067",
            "telephone_number": "616-235-2910",
            "fax_number": "616-235-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "SARAH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MI",
            "license": "4704283734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Alan Weaver
• Gregory L Weaver, DDS
• Lisa Steketee Weaver, M.D.
• Madeline Louise Weaver
• Michele Marie Weaver, PT, DPT, NCS
• Shelby Renee Weaver
• Alexandra Webb
• Dennis Bruce Webb, D.D.S.
• Jennifer K. Webb
• Jennifer Lyn Webb

• Administrator Registered Nurse in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Administrator Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.