Individual provider Active NPI

Erin Elizabeth Weaver, ND, LAC

  • Naturopath
  • Coos Bay, OR
National Provider Identifier
1639616436
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4057 Issued in OR
Practice address
519 S 7TH St
Coos Bay, OR 97420-1301
Phone
(541) 269-9878
NPI assigned
Jan 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC196824 OR
Naturopath 175F00000X 4057 OR Primary

Addresses

Primary practice location

519 S 7TH St
Coos Bay, OR 97420-1301

Mailing address

519 S 7TH St
Coos Bay, OR 97420-1301
Phone (541) 269-9878

Other identifiers 1

IdentifierTypeStateIssuer
500737989MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4057ORMDChiropractor
AC196824ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Natural Medicine, Inc Acupuncturist PastSince Nov 1, 2020 Accepting new patients
Briggshealth Acupuncturist PastSince Dec 1, 2024 Accepting new patients
Well Within Acupuncturist PastSince Jul 1, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22798/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1639616436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S 7TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201301",
            "telephone_number": "541-269-9878",
            "fax_number": "877-349-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S 7TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201301",
            "telephone_number": "541-269-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "ND, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC196824",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500737989",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.