Julie Weaver

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-08011 Issued in NM

Practice address

5312 Jaguar Dr
Santa Fe, NM 87507-1827

Phone

(505) 820-0262

NPI assigned

Apr 29, 2008

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1750556874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 POSTAL SERVICE LOOP # 1025",
            "address_2": "BLDG 1108, 2ND FLOOR",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995055001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 JAGUAR DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875071827",
            "telephone_number": "505-820-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-08011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Diane Waugaman, AU.D
• Julie Waxenberg, PHARMD
• Lawrence G Wayburn, M.D.
• Victoria Waymire
• Dianne Marie Weaver, D.O.M.
• Suzanne Weaver, LMT
• Carey Ann Webb
• David G Weeks, LMT
• Gregory P. Weeks, LPCC
• Amelia Wegner

• Clinical Social Worker in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.