Active NPI
Alecia Weaver
- Developmental Disabilities Clinic/Center
- Virginia Beach, VA
National Provider Identifier
1861185308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Practice address
- 485 S Independence Blvd Ste 115
Virginia Beach, VA 23452-1129 - Phone
- (757) 353-5875
- NPI assigned
- May 31, 2023
- 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 |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary |
Addresses
Primary practice location
485 S Independence Blvd Ste 115
Virginia Beach, VA 23452-1129
Mailing address
3291 Prices Fork Blvd Apt 216
Suffolk, VA 23435-3691
Phone (757) 353-5875
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1861185308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3291 PRICES FORK BLVD APT 216",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353691",
"telephone_number": "757-353-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 S INDEPENDENCE BLVD STE 115",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234521129",
"telephone_number": "757-353-5875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "ALECIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-31",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.