Individual provider Active NPI

Kaci Weaver

  • Acute Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1740670280
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-130890 Issued in AL
Practice address
5890 Valley Rd Ste 200
Birmingham, AL 35235-8669
Phone
(205) 655-7600
Fax
(205) 655-7446
NPI assigned
Feb 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-130890 AL Primary

Addresses

Primary practice location

5890 Valley Rd Ste 200
Birmingham, AL 35235-8669

Mailing address

1717 6TH Ave S
Birmingham, AL 35233-1801

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kaci.weaver.1@9954.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150416001488 AL Practitioner - Nurse Practitioner 1850619115 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Sports Medicine Birmingham, LLCGroup PAC ID 4880082429, 180 clinicians
Affinity Physician Services, LLCGroup PAC ID 4385651751, 92 clinicians
University of Alabama Health Services Foundation, PCGroup PAC ID 1951213107, 2,784 clinicians

Practice addresses (Care Compare)

2050 Gadsden Hwy
Suite 104
Birmingham, AL 35235-3260
Phone (205) 655-7231

5890 Valley Rd
Suite 200
Birmingham, AL 35235-8669
Phone (205) 655-7600

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

Hospital & facility affiliations

  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern ENT & Sinus Center, P.C. CurrentSince Feb 23, 2015 Accepting new patients
Affinity Physician Services LLC CurrentSince Oct 17, 2022 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 1, 2019 Accepting new patients
Alabama Orthopedic Spine & Sports Medicine Associates P C Past Accepting new patients

Locations

1717 6th Ave S
Birmingham, AL 35233
Phone (205) 934-3450

1809 Gadsden Hwy
Birmingham, AL 35235
Phone (205) 838-3755

5890 Valley Rd
Ste 200
Birmingham, AL 35235
Phone (205) 655-7600

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1740670280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 VALLEY RD STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352358669",
            "telephone_number": "205-655-7600",
            "fax_number": "205-655-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KACI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-130890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaci.weaver.1@9954.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "5890 Valley Rd Ste 200",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352358669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.