PATTI SUZANNE WEAVER ACNP NPI 1013999838

NPI Information

NPI: 1013999838
Provider Name: PATTI SUZANNE WEAVER, ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1800 12TH ST
MERIDIAN, MS
ZIP 39301
Phone: (601) 703-4065
Get Directions

Patti Suzanne Weaver, ACNP is an acute care nurse practitioner in Meridian, MS with 25 years of experience. Patti Suzanne Weaver, ACNP NPI is 1013999838. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1800 12TH ST
MERIDIAN, MS
ZIP 39301-158
Phone: (601) 703-4065
Fax: (601) 703-3050

The NPI 1013999838 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2005 and was last updated on 11/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	R731838	MISSISSIPPI	No
2	363LA2100X	Nurse Practitioner	Acute Care	R731838	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00124944	MEDICAID	MISSISSIPPI
2	P37491	MEDICARE UPIN
3	500024670	OTHER		RAILROAD MEDICARE
4	891003790	MEDICAID	ALABAMA
5	500001037	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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