Lillianne Margaret Weyers

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

7010 E Chauncey LN Ste 225
Phoenix, AZ 85054-3117

Phone

(480) 585-5200

NPI assigned

May 9, 2024

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

Physician Assistant

Practice roles

Locations

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.

• Scottsdale Pediatrics and Pediatric Nephrology, PLLC

  dba Agave Pediatrics

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1629076518
  NPD
• Moon Valley Pediatrics PC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1225015159
  NPD (past)

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1679321061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 E CHAUNCEY LN STE 225",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850543117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 E CHAUNCEY LN STE 225",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850543117",
            "telephone_number": "480-585-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYERS",
        "first_name": "LILLIANNE",
        "middle_name": "MARGARET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westwinddental Unionhills
• Christine Marie Wetzel, RN
• Stephanie Jane Wetzel, DO
• Matthew Weyer, PH.D.
• George Rodney Weyers
• Peter James Weyforth, CRNA
• Jeff Weyrauch, PTA
• Amanda R Weyrum
• Matthew Weyrum
• Cory Robert Whale, D.O.

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.