Wayne Weaver

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

TY198277 Issued in OH

Practice address

119 Indianola Ave
Dayton, OH 45405-3538

Phone

(937) 718-1610

NPI assigned

Jan 12, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Mentoring 1 on 1

  • Case Manager/Care Coordinator
  • Dayton, OH
  • NPI 1790558120
  NPD
• Ohio Seeds of Hope

  • Case Manager/Care Coordinator
  • Dayton, OH
  • NPI 1124901723
  NPD

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1942071410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 INDIANOLA AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454053538",
            "telephone_number": "937-718-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 INDIANOLA AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454053538",
            "telephone_number": "937-718-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "WAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "TY198277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Weaver, RN
• Kady Weaver
• Lotwana Weaver
• Ronald L Weaver
• Sela Clare Weaver
• Amber C. Webb, QMHS
• Amber Dawn Webb, LCDCII
• Beau Webb, PA-C
• Bridget Webb, MS, LPCC-S
• Brooklyn Webb

• Case Manager/Care Coordinator in Dayton, OH
• Providers in Dayton, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.