Jessica Weaver, BSN, RN

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

ALM-011711 Issued in AZ

Practice address

919 W Barrow Dr
Chandler, AZ 85225-2151

Phone

(480) 477-4236

Fax

(480) 687-2919

NPI assigned

Sep 2, 2019

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Weaver Care Homes LLC

  • Assisted Living Facility
  • Chandler, AZ
  • NPI 1962047803
  NPD Authorized official

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567382400000",
    "number": "1922656040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 W BARROW DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252151",
            "telephone_number": "480-477-4236",
            "fax_number": "480-687-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 W BARROW DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252151",
            "telephone_number": "480-477-4236",
            "fax_number": "480-687-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JESSICA",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2019-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "AZ",
            "license": "RN177767",
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "AZ",
            "license": "ALM-011711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "82-4751447",
            "identifier": "82-4751447",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Weavercarehomes@yahoo.com",
            "affiliation": "N",
            "address_1": "919 W Barrow Dr",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852252151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• We Create Smiles PC
• Kaisa Lynn Weathers, MED, BCBA, LBA
• Weaver Care Homes LLC
• Emily Weaver
• Jennifer Weaver, SLPA
• Richard Weaver
• Robert Weaver Jr., M.D.
• Angela Webb, COTA/L
• Chandra Webb
• Linda O. Webber, PH.D.

• Nursing Home Administrator in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Nursing Home Administrator in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2019; 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.