Individual provider Active NPI

Laurie Brock Weatherbee, APRN, FNP

  • Nurse Practitioner
  • Mount Pleasant, SC
National Provider Identifier
1740761006
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
21517 Issued in SC
Practice address
631 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3030
Phone
(843) 881-0815
Fax
(843) 881-0743
NPI assigned
Aug 24, 2018
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 21517 SC Primary

Addresses

Primary practice location

631 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3030

Mailing address

PO Box 749306
Atlanta, GA 30374-9306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20190115000417 SC Practitioner - Nurse Practitioner 5294071197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Urgent Cares LLCGroup PAC ID 8628502598, 183 clinicians

Practice addresses (Care Compare)

631 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3030
Phone (843) 881-0815

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Novant Health Urgent Cares LLC CurrentSince Nov 1, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol Nurse Practitioner CurrentSince Sep 13, 2018 Accepting new patients
Woodruff Road Urgent Care Center, P.C. PastSince Dec 29, 2019 Accepting new patients

Locations

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055

631 Johnnie Dodds Blvd
Mt Pleasant, SC 29464
Phone (843) 849-6889

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1740761006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 JOHNNIE DODDS BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643030",
            "telephone_number": "843-881-0815",
            "fax_number": "843-881-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERBEE",
        "first_name": "LAURIE",
        "middle_name": "BROCK",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "21517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.