Active NPI
Jennifer R Weaver, APRN
- Family Nurse Practitioner
- North Hampton, OH
National Provider Identifier
1790359701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP0028923
- Practice address
- 275 W Clark St
North Hampton, OH 45349 - Phone
- (937) 926-1344
- NPI assigned
- May 14, 2021
- Last updated
- May 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP0028923 | OH | Primary |
Addresses
Primary practice location
275 W Clark St
North Hampton, OH 45349
Mailing address
275 W Clark St
North Hampton, OH 45349
Phone (937) 926-1344
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennyweaver@familymedicineofnorthhampton.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 15, 2021 through Jun 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP0028923 | OH | MD | Family Nurse Practitioner |
Interoperability endpoints
- jenny.weaver.1@23555.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1790359701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 W CLARK ST",
"city": "NORTH HAMPTON",
"state": "OH",
"postal_code": "45349",
"telephone_number": "937-926-1344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W CLARK ST",
"city": "NORTH HAMPTON",
"state": "OH",
"postal_code": "45349",
"telephone_number": "937-926-1344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "JENNIFER",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-14",
"last_updated": "2021-05-14",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP0028923",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennyweaver@familymedicineofnorthhampton.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "275 W Clark St",
"city": "North Hampton",
"state": "OH",
"country_code": "US",
"postal_code": "45349",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in North Hampton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.