Active NPI
Carla Coats Weaver, APRN
- Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1932352853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5039064-4405
- Practice address
- 50 Mario Capecchi Dr
4TH Floor Burn Clinic
Salt Lake City, UT 84132-0001 - Phone
- (801) 851-3050
- Fax
- (801) 581-8446
- NPI assigned
- Oct 23, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5039064-4405 | UT | Primary |
Addresses
Primary practice location
50 Mario Capecchi Dr
4TH Floor Burn Clinic
Salt Lake City, UT 84132-0001
Mailing address
50 Mario Capecchi Dr
4TH Floor Burn Clinic
Salt Lake City, UT 84132-0001
Phone (801) 851-3050
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5039064-4405 | UT | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1932352853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 MARIO CAPECCHI DR",
"address_2": "4TH FLOOR BURN CLINIC",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320001",
"telephone_number": "801-851-3050",
"fax_number": "801-581-8446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MARIO CAPECCHI DR",
"address_2": "4TH FLOOR BURN CLINIC",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320001",
"telephone_number": "801-851-3050",
"fax_number": "801-581-8446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "CARLA",
"middle_name": "COATS",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-23",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "5039064-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.