Individual provider Active NPI

Heather Weaver, FNP-BC

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1942986377
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11026978 Issued in FL
Practice address
1549 Airport Blvd Ste 310
Pensacola, FL 32504-8635
Phone
(850) 416-7008
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11026978 FL Primary

Addresses

Primary practice location

1549 Airport Blvd Ste 310
Pensacola, FL 32504-8635

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063

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
I20240112002700 FL Practitioner - Nurse Practitioner 2769833821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health System, IncGroup PAC ID 0244126621, 19 clinicians

Practice addresses (Care Compare)

6665 Pensacola Blvd
Pensacola, FL 32505-1705
Phone (850) 416-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN11026978FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. Current Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Apr 27, 2025 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince May 31, 2024 Accepting new patients
Sacred Heart Health System Inc CurrentSince May 31, 2024 Accepting new patients
Tri Hospital MRI Center Past Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

1549 Airport Blvd
Ste 310
Pensacola, FL 32504
Phone (850) 416-7008

6665 Pensacola Blvd
Pensacola, FL 32505
Phone (850) 416-2000

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

1549 Airport Blvd
Ste 330
Pensacola, FL 32504
Phone (850) 416-5450

8333 N Davis Hwy
Fl 4
Pensacola, FL 32514
Phone (850) 474-8610

Interoperability endpoints

  • Direct secure messaging: heather.weaver.3@9582.direct.athenahealth.com
  • Direct secure messaging: heather.weaver.2@9582.direct.athenahealth.com

Organizations & group practices 5

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 1

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": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1942986377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 AIRPORT BLVD STE 310",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048635",
            "telephone_number": "850-416-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11026978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.