Individual provider Active NPI

Weedley Dor, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1942001631
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11038300 Issued in FL
Practice address
16158 S Military TRL
Delray Beach, FL 33484-6502
Phone
(561) 495-0522
NPI assigned
Mar 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11038300 FL Primary

Addresses

Primary practice location

16158 S Military TRL
Delray Beach, FL 33484-6502

Mailing address

16158 S Military TRL
Delray Beach, FL 33484-6502
Phone (561) 495-0522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250714001008 FL Practitioner - Nurse Practitioner 3375058944 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11038300FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South County Mental Health Center, Inc. CurrentSince May 30, 2025 Accepting new patients

Locations

16158 S Military Trl
Delray Beach, FL 33484
Phone (561) 495-0522

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1942001631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16158 S MILITARY TRL",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846502",
            "telephone_number": "561-495-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16158 S MILITARY TRL",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846502",
            "telephone_number": "561-495-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOR",
        "first_name": "WEEDLEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11038300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.