ROBERTA CHRISTINE WEAVER (NPI# 1356646087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356646087 |
| Entity Type | Individual |
| Full Name | ROBERTA CHRISTINE WEAVER |
| Other Name | ROBERTA CHRISTINE RUSSELL |
| Credential | FNP |
| Practice Address |
1318 Broadway Lubbock TX 79401-3206 |
| Mailing Address |
1313 Broadway Ste 5 Lubbock TX 79401-3209 |
| Practice Telephone | 8067652611 |
| Practice Fax Number | 8067656271 |
| Mailing Telephone | 8067652611 |
| Mailing Fax Number | 8066875957 |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2016-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP119780 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
648686 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1318 BROADWAY |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79401-3206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386644821 | Marissa Blanco | Counselor | 1318 Broadway, Lubbock, TX 79401-3206 | 2005-07-27 |
| 1679944623 | Silvia Ann Velez | Counselor | 1318 Broadway, Lubbock, TX 79401-3206 | 2015-10-16 |
| 1033599535 | Alicia Albus | Counselor | 1318 Broadway, Lubbock, TX 79401-3206 | 2015-06-01 |
| 1912331745 | Jana Rae Soto | Nurse Practitioner | 1318 Broadway, Lubbock, TX 79401-3206 | 2013-08-28 |
| 1093153421 | Veronica Michelle Copeland | Dentist | 1318 Broadway, Lubbock, TX 79401-3206 | 2013-06-07 |
| 1932479607 | Hannah Korkow | Marriage & Family Therapist | 1318 Broadway, Lubbock, TX 79401-3206 | 2012-01-11 |
| 1033496138 | Mary Jane Concepcion | Nurse Practitioner | 1318 Broadway, Lubbock, TX 79401-3206 | 2011-11-03 |
| 1790006369 | Sage Austin Thames | Dentist | 1318 Broadway, Lubbock, TX 79401-3206 | 2010-06-18 |
| 1932437621 | Premilla Diana Pinto-kini | Family Medicine | 1318 Broadway, Lubbock, TX 79401-3206 | 2009-11-18 |
| 1093946410 | Robert F Polk IIi | Optometrist | 1318 Broadway, Lubbock, TX 79401-3206 | 2009-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740688837 | Cody Painter | Student in an Organized Health Care Education/Training Program | 43021 6th and Boston, Lubbock, TX 79401 | 2014-12-05 |
| 1730412511 | Chiara Eberhardt | Counselor | 1614 Ave K, Lubbock, TX 79401 | 2009-09-11 |
| 1528265535 | City of Lubbock | Clinic/Center | 80618th Street, Lubbock, TX 79401 | 2007-07-02 |
| 1184784084 | Cc Home Health of Lubbock LLC | Technician | 2118 Broadway Ave, Lubbock, TX 79401 | 2006-12-11 |
| 1003997768 | Charles Hudson | Family Medicine | Concord Medical Group, 1602 Avenue Q, Lubbock, TX 79401 | 2006-10-18 |
| 1003904376 | Thi of Texas At Lubbock II, LLC | Skilled Nursing Facility | 1401 9th Street, Lubbock, TX 79401 | 2006-10-11 |
| 1174514681 | United Supermarkets LLC | Pharmacy | 1610 5th St, Lubbock, TX 79401 | 2005-11-03 |
| 1669470332 | Jose A Suarez | Internal Medicine | 1655 Main St Ste 201, Lubbock, TX 79401 | 2005-07-07 |
| 1225696362 | Heather Leigh Robertson | Dietitian, Registered | 1628 19th St, Lubbock, TX 79401 | 2019-06-04 |
| 1912411091 | Josi Gwin | Speech-Language Pathologist | 1628 19th St, Lubbock, TX 79401 | 2017-11-28 |
| Find all providers in zip 79401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911859 | Amber Marie Bowman | Nurse Practitioner | 5106 59th St, Lubbock, TX 79414-4312 | 2020-10-29 |
| 1609475219 | Jonathan-michael Aaron Sisson | Nurse Practitioner | 7421 104th St, Lubbock, TX 79424-6079 | 2020-10-23 |
| 1174134753 | Rebecca Stephanie Castillo | Nurse Practitioner | 5528 109th St, Lubbock, TX 79424-7680 | 2020-08-16 |
| 1508487398 | Mark Angelo Padolina | Nurse Practitioner | 1101 Oshkosh Ave, Lubbock, TX 79416-3810 | 2020-05-03 |
| 1841826724 | Leticia Luna Flores Cooper | Nurse Practitioner | 2511 60th St, Lubbock, TX 79413-5641 | 2020-03-23 |
| 1952931693 | Camella Dawn Ladd | Nurse Practitioner | 1307 Martin Luther King Blvd, Lubbock, TX 79403-5329 | 2020-01-22 |
| 1962042598 | Wendy Geraldine Avalos | Nurse Practitioner | 9304 Primrose Ave, Lubbock, TX 79424-6799 | 2020-01-11 |
| 1619516325 | Jessica Krueger | Nurse Practitioner | 5502 103rd St, Lubbock, TX 79424-6417 | 2019-12-27 |
| 1417596438 | Alicia Michelle Powell | Nurse Practitioner | 6102 82nd St Ste 14, Lubbock, TX 79424-0840 | 2019-12-23 |
| 1376181537 | Ashley Nicole White | Nurse Practitioner | 5614 100th St, Lubbock, TX 79424-6268 | 2019-12-18 |
| Find all providers in LUBBOCK | ||||
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| 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.