Individual provider Active NPI

Anna Elizabeth Weaver, LMT

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1700445988
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-24043 Issued in OR
Practice address
1590 E 13TH Ave
Eugene, OR 97403
Phone
(541) 346-4401
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60820911 WA
Massage Therapist 225700000X LMT-24437 AZ
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MT-24043 OR Primary

Addresses

Primary practice location

1590 E 13TH Ave
Eugene, OR 97403

Mailing address

1232 University of Oregon
Eugene, OR 97403-1232
Phone (541) 346-4401

Other practice location 1

144 E 14th Ave
Eugene, OR 97401-3533
Phone (206) 458-1033

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

State licenses

LicenseStateTypeSpecialty
LMT-24437AZMDMassage Therapist
MT-24043ORMDMassage Therapist
MA60820911WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1700445988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 UNIVERSITY OF OREGON",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031232",
            "telephone_number": "541-346-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 E 13TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97403",
            "telephone_number": "541-346-4401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 E 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013533",
            "country_code": "US",
            "telephone_number": "206-458-1033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ANNA",
        "middle_name": "ELIZABETH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60820911",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "LMT-24437",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "MT-24043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.