Individual provider Active NPI

Faithe Weathers, CNP

  • Adult Health Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1750850665
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN2264586 Issued in MA
Practice address
528 Newton St
Fall River, MA 02721-2366
Phone
(508) 675-1522
Fax
(508) 676-5647
NPI assigned
Nov 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN1861 RI
Nurse Practitioner 363L00000X RN2264586 MA
Adult Health Nurse Practitioner 363LA2200X RN2264586 MA Primary

Addresses

Primary practice location

528 Newton St
Fall River, MA 02721-2366

Mailing address

528 Newton St
Fall River, MA 02721-2366
Phone (508) 675-1522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190128000666 MA Practitioner - Nurse Practitioner 4486991528 Reassigns benefits to 1 organization
I20190710001052 RI Practitioner - Nurse Practitioner 4486991528

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2264586MAMDNurse Practitioner
APRN1861RIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newport County Medical Treatment Office PastSince Nov 1, 2019 Accepting new patients

Organizations & group practices 2

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": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1750850665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 NEWTON ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027212366",
            "telephone_number": "508-675-1522",
            "fax_number": "508-676-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 NEWTON ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027212366",
            "telephone_number": "508-675-1522",
            "fax_number": "508-676-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERS",
        "first_name": "FAITHE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN1861",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2264586",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2264586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.