Individual provider Active NPI

Deborah Marie Weaver-Augusta, RN

  • Registered Nurse
  • Mentor, OH
National Provider Identifier
1679739874
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN. 260614 Issued in OH
Practice address
8011 Colonial Dr Apt a
Mentor, OH 44060-9381
Phone
(440) 227-7479
Fax
(440) 639-0936
NPI assigned
Aug 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN. 260614 OH Primary

Addresses

Primary practice location

8011 Colonial Dr Apt a
Mentor, OH 44060-9381

Mailing address

8011 Colonial Dr Apt a
Mentor, OH 44060-9381
Phone (440) 227-7479

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN. 260614OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1679739874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 COLONIAL DR APT A",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440609381",
            "telephone_number": "440-227-7479",
            "fax_number": "440-639-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 COLONIAL DR APT A",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440609381",
            "telephone_number": "440-227-7479",
            "fax_number": "440-639-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER-AUGUSTA",
        "first_name": "DEBORAH",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN. 260614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.