MS. KRISTINE MARIE WEAVER (NPI# 1437309838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437309838 |
| Entity Type | Individual |
| Full Name | MS. KRISTINE MARIE WEAVER |
| Credential | FNP-BC |
| Practice Address |
232 S Main St Ste A Culver IN 46511 |
| Mailing Address |
707 Cedar St Ste 200 South Bend IN 46617-2057 |
| Practice Telephone | 5743357780 |
| Practice Fax Number | 5743350730 |
| Mailing Telephone | 5743358707 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71002758A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200936570 | 05 | |
| IN | BCBS | 000000878284 | 01 |
| IN | BCBS (ELM RD) | 000001170309 | 01 |
| IN | MEDICARE | 187720061 | 01 |
| IN | RR MEDICARE | P01942591 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5218 Beck Dr Ste 12, Elkhart, IN 465169132 | 5743357700 | |
| 60101 Bodnar Blvd Ste 100b, Mishawaka, IN 465449340 | 5743358500 | 5743350794 |
| 1122 S Ironwood Dr, South Bend, IN 466151618 | 5743358399 | 5743350786 |
| 2349 Lake Ave Ste 100, Plymouth, IN 465637836 | 5749485100 | |
| 2930 W Cleveland Road Ext, South Bend, IN 466286090 | 5743358450 | |
| 1919 Lake Ave Ste 104, Plymouth, IN 465637830 | 5749485200 | |
| 114 N Washington St, Bourbon, IN 465041623 | 5743357850 | |
| 1120 W South St, Bremen, IN 465061849 | 5743357800 | |
| 209 E Jefferson St, Plymouth, IN 465631861 | 5749485100 | |
| 17321 State Road 23, South Bend, IN 46635 | 3355748400 | |
| 1025 Widener Ln, South Bend, IN 466143242 | 5743357600 | |
| 12563 State Road 23, Granger, IN 465309226 | 5743358300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699939751 | Kristine Marie Weaver | Optometrist | 2393 Schust Rd, Saginaw, MI 48603-1334 | 2008-07-17 |
| Street Address |
232 S MAIN ST STE A |
| City | CULVER |
| State | IN |
| Zip Code | 46511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649361031 | John R. Bernero | Internal Medicine | 1680 E. Shore Dr., Culver, IN 46511 | 2006-09-28 |
| 1306814413 | Michael F Deery | Family Medicine | 921 N Lake Shore Dr, Culver, IN 46511 | 2006-03-14 |
| 1427595842 | Mackenzie Davenport | Specialist/Technologist | 1300 Academy Rd, Culver, IN 46511 | 2017-01-24 |
| 1033624499 | Stephanie Stichter | Specialist/Technologist | 701 School St, Culver, IN 46511-1026 | 2017-12-07 |
| 1104155415 | Culver Community Schools | Local Education Agency (LEA) | 700 School St, Culver, IN 46511-1027 | 2009-12-15 |
| 1770504813 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 730 School St, Culver, IN 46511-1027 | 2006-07-22 |
| 1679970644 | Culver Comm Sch Corp | Point of Service | 700 School St, Culver, IN 46511-1027 | 2014-11-19 |
| 1366566424 | Lake Shore Clinic | Clinic/Center | 921 N Lake Shore Dr, Culver, IN 46511-1207 | 2007-03-16 |
| 1730274556 | Noemi Adame | Pediatrics | 921 N Lake Shore Dr, Culver, IN 46511-1207 | 2006-10-04 |
| 1235245002 | Rebecca M Brice | Family Medicine | 921 N Lake Shore Dr, Culver, IN 46511-1207 | 2006-08-22 |
| Find all providers in zip 46511 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1578162459 | Kourtney Marie Terry | Nurse Practitioner | 128 Miner Rd, Avilla, IN 46710-9690 | 2020-10-21 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1730788720 | Camille Mae Carl | Nurse Practitioner | 6441 Anna Louise Dr, Charlestown, IN 47111-8797 | 2020-10-20 |
| 1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
| 1144828799 | Mina Desai-patel | Nurse Practitioner | 14698 Drayton Dr, Noblesville, IN 46062-8230 | 2020-10-15 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
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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.