Active NPI
Emily Weatherby
- Marriage & Family Therapist
- San Luis Obispo, CA
National Provider Identifier
1649838574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 2925 McMillan Ave Ste 108
San Luis Obispo, CA 93401-6765 - Phone
- (805) 781-4961
- Fax
- (805) 781-4962
- NPI assigned
- Jun 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
2925 McMillan Ave Ste 108
San Luis Obispo, CA 93401-6765
Mailing address
2925 McMillan Ave Ste 108
San Luis Obispo, CA 93401-6765
Phone (805) 781-4961
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eweatherby@co.slo.ca.us |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1649838574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 MCMILLAN AVE STE 108",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934016765",
"telephone_number": "805-781-4961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 MCMILLAN AVE STE 108",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934016765",
"telephone_number": "805-781-4961",
"fax_number": "805-781-4962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERBY",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eweatherby@co.slo.ca.us",
"affiliation": "N",
"address_1": "2925 McMillan Ave Ste 108",
"city": "San Luis Obispo",
"state": "CA",
"country_code": "US",
"postal_code": "934016765",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.