Individual provider Active NPI

Ryanne L Weaver, LPN

  • Licensed Practical Nurse
  • Trotwood, OH
National Provider Identifier
1841629813
Registry record updated Nov 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
152159 Issued in OH
Practice address
200 Fieldstone Dr Apt 7
Trotwood, OH 45426-6821
Phone
(937) 520-0976
NPI assigned
Nov 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 152159 OH Primary

Addresses

Primary practice location

200 Fieldstone Dr Apt 7
Trotwood, OH 45426-6821

Mailing address

200 Fieldstone Dr Apt 7
Trotwood, OH 45426-6821
Phone (937) 520-0976

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
152159OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1384041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384041600000",
    "number": "1841629813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FIELDSTONE DR APT 7",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454266821",
            "telephone_number": "937-520-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FIELDSTONE DR APT 7",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454266821",
            "telephone_number": "937-520-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "RYANNE",
        "middle_name": "L",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-10",
        "last_updated": "2013-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "152159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trotwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2013; 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.