Individual provider Active NPI

Glynis Weaver, PA-C

  • Medical Physician Assistant
  • Carson City, NV
National Provider Identifier
1649674276
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1677 Issued in NV
Practice address
1600 Medical Pkwy
Carson City, NV 89703-4625
Phone
(775) 445-8000
NPI assigned
Oct 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1677 NV Primary
Physician Assistant 363A00000X PA-2598 ID

Addresses

Primary practice location

1600 Medical Pkwy
Carson City, NV 89703-4625

Mailing address

1600 Medical Pkwy
Carson City, NV 89703-4625

Other practice location 1

700 W Ironwood Dr Ste 120
Coeur D Alene, ID 83814-4405
Phone (208) 625-3640

Other names 1

  • Glynis Cureton Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gweaver941039@direct.multicare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160308000684 NV Practitioner - Physician Assistant 4486640539 Reassigns benefits to 1 organization
I20260130001919 ID Practitioner - Physician Assistant 4486640539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Tahoe Regional HealthcareGroup PAC ID 1759284862, 20 clinicians
Kootenai Urgent Care LLCGroup PAC ID 1052441946, 19 clinicians

Practice addresses (Care Compare)

1201 S Carson St
Carson City, NV 89701-5225
Phone (775) 445-7330

1600 Medical Pkwy
Carson City, NV 89703-4625
Phone (775) 445-8000

700 W Ironwood Dr
Suite 120E
Coeur D Alene, ID 83814-2656
Phone (208) 625-3640

Hospital & facility affiliations

  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019
  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-2598IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Urgent Care LLC Physician Assistant CurrentSince Jan 1, 2026 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Sep 12, 2017 Accepting new patients
Kootenai Health, Inc. Past Accepting new patients
James J Lynch MD LTD Past Accepting new patients
Kootenai Health, Inc. Physician Assistant Past Accepting new patients

Locations

700 W Ironwood Dr
Ste 120E
Coeur D Alene, ID 83814
Phone (208) 625-3640

1300 E Mullan Ave
Ste 600
Post Falls, ID 83854
Phone (208) 676-1852

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

900 E Long St
Carson City, NV 89706
Phone (775) 884-7000

1201 S Carson St
Ste 200
Carson City, NV 89701

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1649674276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL PKWY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL PKWY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034625",
            "telephone_number": "775-445-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W Ironwood Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838144405",
            "country_code": "US",
            "telephone_number": "208-625-3640",
            "fax_number": "208-625-3645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "GLYNIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1677",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2598",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gweaver941039@direct.multicare.org",
            "affiliation": "N",
            "address_1": "700 W Ironwood Dr Ste 120",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838144405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GLYNIS",
            "last_name": "CURETON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.