DR. DEBRA ANN WEAVER (NPI# 1285658047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285658047 |
| Entity Type | Individual |
| Full Name | DR. DEBRA ANN WEAVER |
| Credential | PH.D. |
| Practice Address |
2880 Capital Medical Blvd Suite 2 Tallahassee FL 32308-4671 |
| Practice Telephone | 8509425585 |
| Practice Fax Number | 8502221194 |
| Mailing Telephone | 8509425585 |
| Mailing Fax Number | 8502221194 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 03599 | MD | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY4836 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS/BLUE SHIELD OF FLORIDA | 59382 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346733813 | Debra Sue Weaver | Behavioral Analyst | 3705 Meadow Dr, House Springs, MO 63051-1417 | 2018-06-10 |
| 1457577355 | Debra Lohman Weaver | Nurse Practitioner | 10211 Alm St Ste 212, Raleigh, NC 27617 | 2007-04-18 |
| 1457899031 | Debra Weaver | Registered Nurse | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2017-02-03 |
| 1396909628 | Debra J Weaver | Speech-Language Pathologist | 6614 Southern Blvd, Boardman, OH 44512-3455 | 2008-07-16 |
| Street Address |
2880 CAPITAL MEDICAL BLVD SUITE 2 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205813508 | Alan R Kagan | Psychiatry & Neurology | 2880 Capital Medical Blvd, Suite 2, Tallahassee, FL 32308-4671 | 2005-12-28 |
| 1184913105 | Debra A Weaver Phd LLC | Psychologist | 2880 Capital Medical Blvd, Suite 2, Tallahassee, FL 32308-4671 | 2011-03-30 |
| 1366632812 | C. Vincent Dix Phd LLC | Psychologist | 2880 Capital Medical Blvd, Suite 2, Tallahassee, FL 32308-4671 | 2007-07-31 |
| 1255532255 | Mark D. Mcquary | Dentist | 2880 Capital Medical Blvd, Suite 3, Tallahassee, FL 32308-4671 | 2007-05-29 |
| 1205055787 | Tallahassee Facial Pain Center Pa | Dentist | 2880 Capital Medical Blvd, Suite 1, Tallahassee, FL 32308-4671 | 2007-04-24 |
| 1003997107 | Bruce Arthur Woodruff | Dentist | 2880 Capital Medical Blvd, Suite 1, Tallahassee, FL 32308-4671 | 2006-10-17 |
| 1528032372 | Linda Enfinger | Social Worker | 2880 Capital Medical Blvd, #2, Tallahassee, FL 32308-4671 | 2006-02-16 |
| 1134108194 | C. Vincent Dix | Psychologist | 2880 Capital Medical Blvd, Suite 2, Tallahassee, FL 32308-4671 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497365399 | Julia L Sheffler | Psychologist | 1126b Lee Ave, Tallahassee, FL 32303-6508 | 2020-08-05 |
| 1386273258 | Alexandria Meyer | Psychologist | 2031 Misty Hollow Rd, Tallahassee, FL 32312-3562 | 2020-04-03 |
| 1194299578 | Kellery Kilgore | Psychologist | 2634 Capital Cir Ne Bldg B, Tallahassee, FL 32308-4106 | 2019-01-18 |
| 1912470741 | Yolanda K.h. Bogan | Psychologist | 1807 Vineland Ln, Tallahassee, FL 32317-7925 | 2019-01-03 |
| 1336689652 | Casey W. Schmidt, Phd | Psychologist | 3325 Thomasville Rd Ste C, Tallahassee, FL 32308-7970 | 2017-03-06 |
| 1396184818 | Psychology and Rehabilitation Services, P.a. | Psychologist | 3494 Weems Rd, Ste. B-2, Tallahassee, FL 32317-7503 | 2013-06-18 |
| 1346592748 | Waters & Kaklamanos | Psychologist | 1664 Metropolitan Cir, Suite 2, Tallahassee, FL 32308-7784 | 2012-10-09 |
| 1285982314 | Michael J. Kofler | Psychologist | 1107 W Call St, Tallahassee, FL 32306-2424 | 2012-08-21 |
| 1407144124 | Jermaine Tyron Robertson | Psychologist | 1512 Blountstown St, Tallahassee, FL 32304-1109 | 2011-07-14 |
| 1194023622 | Christi Washington Cabrera | Psychologist | 267 John Knox Rd, Suite 104, Tallahassee, FL 32303-6611 | 2011-03-08 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on DR. DEBRA ANN WEAVER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.