Active NPI
Jennifer Weeks, M.D.
- Pediatrics Physician
- Joint Base Lewis McChord, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101261768
- Practice address
- 9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000 - Phone
- (253) 986-1330
- NPI assigned
- Apr 14, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101261768 | VA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000
Mailing address
Brook Army Medical Center
3551 Roger Brooke Drive
Fort Sam Houston, TX 78234
Phone (210) 916-3160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101261768 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
4203 Hospital Rd
#150723
Coal Township, PA 17866
Phone (570) 648-4010
4203 Hospital Rd
Coal Township, PA 17866
Phone (570) 486-4588
100 N Academy Ave
Danville, PA 17822
55 Medical Park Dr
Lewisburg, PA 17837
Phone (570) 523-3264
Interoperability endpoints
- jweeks589119@direct.geisinger.edu
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Family Medicine Physician
- Belleville, PA
- NPI 1114453420
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Hospitalist Physician
- Wilkes Barre, PA
- NPI 1588614358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1659767895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BROOK ARMY MEDICAL CENTER",
"address_2": "3551 ROGER BROOKE DRIVE",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-916-3160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 FITZSIMMONS DR",
"city": "JOINT BASE LEWIS MCCHORD",
"state": "WA",
"postal_code": "984311000",
"telephone_number": "253-986-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEEKS",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-14",
"last_updated": "2023-10-23",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101261768",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joint Base Lewis McChord, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.