Diane L Weaver, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

14665-NP Issued in OH

Practice address

7880 Lincole PL
Lisbon, OH 44432-8322

Phone

(330) 424-5686

Fax

(330) 424-4012

NPI assigned

Jul 9, 2013

Last updated

Nov 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Illumia Health LLCGroup PAC ID 7810424306, 33 clinicians

Wissam Khoury DPM LLCGroup PAC ID 2668517061, 13 clinicians

Apex Physical Medicine, IncGroup PAC ID 0547346819, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Apex Physical Medicine, Inc

  • Multi-Specialty Clinic/Center
  • Canton, OH
  • NPI 1134321987

  Family

  Medicare reassignment Care Compare group NPD
• Illumia Health LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Akron, OH
  • NPI 1740024397
  Medicare reassignment Care Compare group NPD
• Wissam Khoury DPM LLC

  • Podiatrist
  • Cleveland, OH
  • NPI 1295064343
  Medicare reassignment Care Compare group
• Community Action Agency of Columbiana County Inc

  dba CAA Health Center at Lisbon

  • Federally Qualified Health Center (FQHC)
  • Lisbon, OH
  • NPI 1821041401
  Medicare reassignment NPD
• Apx Medical Group, Inc

  • Family Medicine Physician
  • Canton, OH
  • NPI 1700756582
  Medicare reassignment
• Community Action Agency of Columbiana County Inc

  dba United Local School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Hanoverton, OH
  • NPI 1225914112
  NPD
• Illumia Health LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • White Bear Lake, MN
  • NPI 1972316289
  NPD
• Columbus Radiology Corp

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1669408159
  NPD (past)

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1902247752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 LINCOLE PL",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328322",
            "telephone_number": "330-424-7221",
            "fax_number": "330-424-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 LINCOLE PL",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328322",
            "telephone_number": "330-424-5686",
            "fax_number": "330-424-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "DIANE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "14665-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wallenhurst, AAS
• Matthew Ray Warren
• Taylor Watson, QMHS
• Anthony James Watt, MA, LPCC, LICDC
• Larisa Rachael Watt, BA, LCDCII, QBHS
• Tammy Welch
• Marilyn Wells, PTA
• Linda Wentzel, QMHS
• West Point Volunteer Fire Department Inc
• Brianne Williams, BACHELOR OF SCIENCE

• Family Nurse Practitioner in Lisbon, OH
• Providers in Lisbon, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.