Individual provider Active NPI

Cecilia Weaver, APRN

  • Family Nurse Practitioner
  • Rayville, LA
National Provider Identifier
1922231992
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP05874 Issued in LA
Practice address
832 Julia St
Rayville, LA 71269-2608
Phone
(318) 728-8833
Fax
(318) 728-8940
NPI assigned
Aug 25, 2009
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP05874 LA Primary

Addresses

Primary practice location

832 Julia St
Rayville, LA 71269-2608

Mailing address

832 Julia St
Rayville, LA 71269-2608
Phone (318) 728-4787

Other identifiers 1

IdentifierTypeStateIssuer
1802565MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20160808002842 LA Practitioner - Nurse Practitioner 4688968001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRWGroup PAC ID 5092126672, 3 clinicians

Practice addresses (Care Compare)

832 Julia St
Rayville, LA 71269-2608
Phone (318) 728-4787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP05874LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DRW Family CurrentSince Nov 1, 2020 Accepting new patients

Locations

832 Julia St
Rayville, LA 71269
Phone (318) 728-4787

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1922231992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 JULIA ST",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712692608",
            "telephone_number": "318-728-4787",
            "fax_number": "318-728-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 JULIA ST",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712692608",
            "telephone_number": "318-728-8833",
            "fax_number": "318-728-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "CECILIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802565",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rayville, LA

Sources for this page

Verify at the official NPI Registry.