Danielle Yvonne Weaver, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A004559 Issued in AR

Practice address

109 Pointer TRL W
Van Buren, AR 72956-2236

Phone

(479) 922-2222

Fax

(479) 922-2227

NPI assigned

Jan 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Douglas Carlson DO, PA

  • Emergency Medicine Physician
  • Alma, AR
  • NPI 1760757066
  NPD (past)
• Pointer Trail Family Clinic PLLC

  • Family Medicine Physician
  • Van Buren, AR
  • NPI 1578684148
  NPD (past)

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482710400000",
    "number": "1811319783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 POINTER TRL W",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562236",
            "telephone_number": "479-922-2222",
            "fax_number": "479-922-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 POINTER TRL W",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562236",
            "telephone_number": "479-922-2222",
            "fax_number": "479-922-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "DANIELLE",
        "middle_name": "YVONNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2016-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004559",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "102073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Warren
• Katie Dawn Warren
• Julie Watson
• Elizabeth Emily Chugg Watters, LCSW
• Stacy Watts
• Jeremy Blake Weaver, P.A.
• Scott Welch II
• Wes McCabe
• Western Arkansas Orthopedic Clinic,PLLC
• Whitney D Wewer

• Family Nurse Practitioner in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2016; 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.