Mary Judith Weaver, M.S. ED.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1716 Grey Friars Chase
Virginia Beach, VA 23456-5435

Phone

(757) 648-3640

NPI assigned

Nov 28, 2018

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

Credentials

Master of Science

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1790255149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 LASALLE DR APT 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234534755",
            "telephone_number": "814-657-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 GREY FRIARS CHASE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234565435",
            "telephone_number": "757-648-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "MARY",
        "middle_name": "JUDITH",
        "credential": "M.S. ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wearefit
• Kelli Weatherholt, M.S. CF-SLP
• Anna Weatherly, PHD
• Alecia Weaver
• Bryana Weaver, LPC
• Ramona Weaver
• Shay Marie Weaver, LRIC
• Deletra Webb, RD,LD
• Kyle Donovan Webb
• Brandi Webber-Etheridge, PHARM.D.

• Speech-Language Pathologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.