NPIMap

Individual provider Active NPI

Christopher Scott Weatherly, DO, MPH

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1942950811
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO3894 Issued in NV
Practice address
701 Shadow LN Ste 200
Las Vegas, NV 89106-4178
Phone
(702) 383-2691
NPI assigned
Mar 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO3894 NV Primary

Addresses

Primary practice location

701 Shadow LN Ste 200
Las Vegas, NV 89106-4178

Mailing address

701 Shadow LN Ste 200
Las Vegas, NV 89106-4178
Phone (702) 383-2691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716002887 NV Practitioner - Family Practice 0547642696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

701 Shadow LN
Suite 200
Las Vegas, NV 89106-4178
Phone (702) 383-2691

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center of Southern Nevada CurrentSince Jul 2, 2025 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Jul 2, 2025 Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

701 Shadow Ln
Ste 200
Las Vegas, NV 89106
Phone (702) 383-2691

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

1524 Pinto Ln
Fl 2
Las Vegas, NV 89106
Phone (702) 671-2236

Organizations & group practices 3

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1942950811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SHADOW LN STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064178",
            "telephone_number": "702-383-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SHADOW LN STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064178",
            "telephone_number": "702-383-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERLY",
        "first_name": "CHRISTOPHER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DO, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO3894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.