Active NPI
Jennifer Weese, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 51771
- Practice address
- 2001 Vail Ave
Anesthesia Services
Charlotte, NC 28207-1219 - Phone
- (704) 304-6202
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 51771 | NC | Primary |
Addresses
Primary practice location
2001 Vail Ave
Anesthesia Services
Charlotte, NC 28207-1219
Mailing address
PO Box 60499
Anesthesia
Charlotte, NC 28260-0499
Phone (704) 304-6202
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8054244 | Medicaid | NC | |
| NAN412 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51771 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Rowan Medical Center, LLC | Current | Accepting new patients | |
| Novant Health Rowan Medical Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mercy Hospital, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
Organizations & group practices 5
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.
-
- Anesthesiology Physician
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- NPI 1346649415
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Nurse Anesthetist, Certified Registered
-
- Neurology Physician
- Salisbury, NC
- NPI 1508931544
Nurse Anesthetist, Certified Registered
-
- Hematology & Oncology Physician
- Salisbury, NC
- NPI 1427770130
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1801961875
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1740222785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60499",
"address_2": "ANESTHESIA",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600499",
"telephone_number": "704-304-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 VAIL AVE",
"address_2": "ANESTHESIA SERVICES",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071219",
"telephone_number": "704-304-6202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEESE",
"first_name": "JENNIFER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "51771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8054244",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN412",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.