Johnathan Noel Weber

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CNA 296175 Issued in FL

Practice address

439 SW Michigan St.
Meridian Health
Lake City, FL 32025

Phone

(386) 487-0800

NPI assigned

Apr 10, 2014

Sex

Male

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

State licenses

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1720407315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18850 B F FINLEY CIR",
            "city": "GLEN ST MARY",
            "state": "FL",
            "postal_code": "320405674",
            "telephone_number": "904-755-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 SW MICHIGAN ST.",
            "address_2": "MERIDIAN HEALTH",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32025",
            "telephone_number": "386-487-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JOHNATHAN",
        "middle_name": "NOEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA 296175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Denise Watson
• Shawn Waugh, PA -L
• Emily Michelle Weatherspoon
• Celeste B Webb, CRNA
• Frederick Thomas Weber, MD
• Marshall Dean Webster, D.C.
• Jonathan David Weiss, D.M.D
• Gail Wells, RPH
• Sherman J Wells, PTA
• Robert Lawrence Wendel Jr., LCSW

• Nurse's Aide in Lake City, FL
• Providers in Lake City, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.