Kaitlyn Mason Weathers, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

263888 Issued in SC

Practice address

1610 N Limestone St
Gaffney, SC 29340-2312

Phone

(864) 902-5294

Fax

(864) 839-9901

NPI assigned

Oct 12, 2022

Last updated

Oct 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cherokee Pediatric Associates

  dba Carolina Pediatric Associates

  • Preferred Provider Organization
  • Blacksburg, SC
  • NPI 1811960248
  NPD (past)

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1952027989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W PINE ST",
            "city": "BLACKSBURG",
            "state": "SC",
            "postal_code": "297021549",
            "telephone_number": "864-902-5294",
            "fax_number": "864-839-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293402312",
            "telephone_number": "864-902-5294",
            "fax_number": "864-839-9901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 W Pine St",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "SC",
            "postal_code": "297021549",
            "country_code": "US",
            "telephone_number": "864-902-5294",
            "fax_number": "864-839-9901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERS",
        "first_name": "KAITLYN",
        "middle_name": "MASON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "263888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Waller, PTA
• Crista Alena Walters
• Marian Jane Wasson, MD
• Kristin Victoria Watson
• Scott McCain Watts, COTA
• Teresa Welch, R.N.
• Bruce H Wellmon, DPM
• Rebecca Wheeler, R.N.
• Lana Gayle Whitaker
• White Picket Fence Home Care LLC

• Family Nurse Practitioner in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.