Active NPI
Cynthia Ann Weir, CFNP
- Family Nurse Practitioner
- Santa Rosa, NM
National Provider Identifier
1811033616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R59797
- Practice address
- 724 Lake Dr
Santa Rosa, NM 88435-2559 - Phone
- (505) 472-4311
- NPI assigned
- Jan 29, 2007
- Last updated
- Oct 29, 2009
- Sex
- Female
- Sole proprietor
- No
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 | R59797 | NM | Primary |
Addresses
Primary practice location
724 Lake Dr
Santa Rosa, NM 88435-2559
Mailing address
724 Lake Dr
Santa Rosa, NM 88435-2559
Phone (505) 472-4311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R59797 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Santa Rosa Council on Alcoholism | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Professional Counseling Associ
- Community/Behavioral Health Agency
- Santa Rosa, NM
- NPI 1932313400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1811033616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 LAKE DR",
"city": "SANTA ROSA",
"state": "NM",
"postal_code": "884352559",
"telephone_number": "505-472-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 LAKE DR",
"city": "SANTA ROSA",
"state": "NM",
"postal_code": "884352559",
"telephone_number": "505-472-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIR",
"first_name": "CYNTHIA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "R59797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.