Shelly Leann Weathers

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-24711 Issued in SC

Practice address

4323 Old Mill Rd Ste B
Anderson, SC 29621-1117

Phone

(270) 777-9283

Fax

(270) 777-9283

NPI assigned

Oct 5, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1932579828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51322",
            "address_2": "C-3",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421025622",
            "telephone_number": "843-670-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 OLD MILL RD STE B",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211117",
            "telephone_number": "270-777-9283",
            "fax_number": "270-777-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERS",
        "first_name": "SHELLY",
        "middle_name": "LEANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1-16-24711",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta Watts
• Sam Watts
• Stella Theresa Way, PT
• Thomas Justin Way, M.D.
• Steven J Wearden, O.D.
• Amy M. Weaver, CRNA
• Colby James Weaver, DDS
• Brittany M. Webb, P.A.
• Kristen Renee Webb, PA-C
• Joseph Maybank Weed Jr., DMD

• Behavior Analyst in Anderson, SC
• Providers in Anderson, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.