MRS. TARA LYNNE WEAVER (NPI# 1467083063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467083063 |
| Entity Type | Individual |
| Full Name | MRS. TARA LYNNE WEAVER |
| Other Name | MS. TARA LYNNE MARTIN |
| Credential | CRNP |
| Practice Address |
800 Walnut St Fl 18 Philadelphia PA 19107-5176 |
| Mailing Address |
226 Mcclellan St Philadelphia PA 19148-1919 |
| Practice Telephone | 2153165151 |
| Mailing Telephone | 2155930205 |
| Enumeration Date | 2020-02-01 |
| Last Update Date | 2020-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP021372 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255872313 | Tara Weaver | Occupational Therapist | 1701 Main Ave Sw, Suite G, Cullman, AL 35055-5299 | 2017-03-09 |
| 1821443011 | Tara Weaver | Registered Nurse | 1311 Brandywine Blvd, Wilmington, DE 19809-2306 | 2016-04-26 |
| 1528483856 | Tara Weaver | Nurse Practitioner | 9550 Allisonville Rd, Indianapolis, IN 46250-1201 | 2014-02-24 |
| 1699066324 | Tara Weaver | Pharmacist | 715 S Clinton St, Grand Ledge, MI 48837-2291 | 2011-04-28 |
| Street Address |
800 WALNUT ST FL 18 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454051 | Violet Anderson | Nurse Practitioner | 2338 S Broad St, Philadelphia, PA 19145-4450 | 2020-10-15 |
| 1568078582 | Lynell Wiggins | Nurse Practitioner | 1605 N 77th St, Philadelphia, PA 19151-2711 | 2020-09-16 |
| 1508479668 | Frances Laura Israel | Nurse Practitioner | 1913 Lansing St, Philadelphia, PA 19111-3505 | 2020-08-28 |
| 1063024529 | April Lee Fligor | Nurse Practitioner | 148 Osborn St, Philadelphia, PA 19128-3709 | 2020-08-17 |
| 1861010597 | Brooke Brady Bell | Nurse Practitioner | 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 | 2020-07-09 |
| 1780208090 | Kimberly Mae Behney | Nurse Practitioner | 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 | 2020-06-02 |
| 1811525819 | Jacqueline Baker | Nurse Practitioner | 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 | 2020-03-27 |
| 1720612914 | Zakiyyah Muhsin-fall | Nurse Practitioner | 499 N 5th St Ste A, Philadelphia, PA 19123-4005 | 2020-02-26 |
| 1386276152 | Mercedes Harley | Nurse Practitioner | 4151 Robbins Ave, Philadelphia, PA 19135-3021 | 2020-02-10 |
| 1639716640 | Priyanka B Patel | Nurse Practitioner | 201 S 13th St Apt 1206, Philadelphia, PA 19107-5464 | 2019-12-09 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on MRS. TARA LYNNE 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.