Navada Renee Weaver, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1148409 Issued in KY

Practice address

902 Southwestern Pkwy
Louisville, KY 40211-2744

Phone

(502) 415-6139

NPI assigned

Jan 8, 2025

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1720898117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 SOUTHWESTERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402112744",
            "telephone_number": "502-415-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 SOUTHWESTERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402112744",
            "telephone_number": "502-415-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "NAVADA",
        "middle_name": "RENEE",
        "name_prefix": "Prof.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1148409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Weathers, PT
• David W Weathersby, LCSW
• Bianca Graciela Weaver, CNM
• Matthew Weaver
• Matthew Gerard Weaver, RPH
• Nicholas Weaver
• Stephanie Weaver, LPCC
• Webb Family Eyecare PLC
• Scarlet Dawn Webb-Henderson, SLP
• Caleb Patrick Webb, MD

• Registered Nurse in Louisville, KY
• Providers in Louisville, KY by specialty
• Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.