MS. MARIE E. WEIDMAN-JOHNSON NP NPI 1467664557

NPI Information

NPI: 1467664557
Provider Name: MS. MARIE E. WEIDMAN-JOHNSON, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
6565 FANNIN ST # DB1-077
HOUSTON, TX
ZIP 77030
Phone: (713) 441-4800
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MS. Marie E. Weidman-johnson, NP is an adult health nurse practitioner in Houston, TX. MS. Marie E. Weidman-johnson, NP NPI is 1467664557. 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:

6565 FANNIN ST # DB1-077
HOUSTON, TX
ZIP 77030
Phone: (713) 441-4800

The NPI 1467664557 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 5/3/2007 and was last updated on 3/4/2019.

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	536615	TEXAS	No
2	363LA2200X	Nurse Practitioner	Adult Health	AP110633	TEXAS	Yes
3	363LW0102X	Nurse Practitioner	Women's Health	536615	TEXAS	No

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	1467664557	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
2	175916902	MEDICAID	TEXAS
3	TP1-175916901	MEDICAID	TEXAS

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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