Jennifer Marie Weaver, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA09801 Issued in TX

Practice address

1305 W Parkwood Ave Ste 109
Friendswood, TX 77546-5700

Phone

(281) 648-1025

Fax

(281) 648-1705

NPI assigned

Feb 21, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Bless You Allergy & Asthma PA

  • Allergy & Immunology Physician
  • Friendswood, TX
  • NPI 1407298961
  NPD

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1750356044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 THREE SISTER CIR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814577",
            "telephone_number": "704-654-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W PARKWOOD AVE STE 109",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465700",
            "telephone_number": "281-648-1025",
            "fax_number": "281-648-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Walls, LCSW
• Vicki Lynn Walston, PT
• Warby Parker Inc.
• Washington Surgical Assisting, LLC
• Arzoo Wastani, OD
• Ashley Webb, PT, DPT
• Wendy Morua, PH.D., PLLC
• Venette Cochiolo Westhoven, PH.D.
• Titeonney Cisco White
• William Richardson White

• Physician Assistant in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.