JUDY WEAVER (NPI# 1487993655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487993655 |
| Entity Type | Individual |
| Full Name | JUDY WEAVER |
| Practice Address |
350 Salem Rd Ste 1 Conway AR 72034 |
| Mailing Address |
110 Skyline Dr Russellville AR 72801-3362 |
| Practice Telephone | 5013368300 |
| Practice Fax Number | 4798905364 |
| Mailing Telephone | 4799675570 |
| Mailing Fax Number | 4798905364 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2018-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063481224 | Judy E Weaver | Nurse Practitioner | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2006-03-17 |
| Street Address |
350 SALEM RD STE 1 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376518589 | Atif M Akhtar | Psychiatry & Neurology | 350 Salem Rd Ste 1, Conway, AR 72034 | 2006-02-21 |
| 1942846456 | Briana Gean Pope | Counselor | 350 Salem Rd Ste 1, Conway, AR 72034-6166 | 2019-11-19 |
| 1689215717 | Traci Temples | Case Manager/Care Coordinator | 350 Salem Rd Ste 1, Conway, AR 72034-6166 | 2019-09-30 |
| 1417506197 | Haley Jehree Glover | Counselor | 350 Salem Rd Ste 1, Conway, AR 72034-6166 | 2019-09-05 |
| 1548814882 | Lindsey Paige Lamb | Case Manager/Care Coordinator | 350 Salem Rd Ste 1, Conway, AR 72034-6166 | 2019-07-25 |
| 1861979494 | William Kyle Purcell | Counselor | 350 Salem Rd Ste 1, Conway, AR 72034 | 2018-07-26 |
| 1619474772 | Ashley Jane Pruitt | Registered Nurse | 350 Salem Rd Ste 1, Conway, AR 72034-6166 | 2018-04-06 |
| 1922519362 | Katy Carnahan | Case Manager/Care Coordinator | 350 Salem Rd Ste 1, Conway, AR 72034-6166 | 2017-10-12 |
| 1821508797 | Leslie Spurgers | Case Manager/Care Coordinator | 350 Salem Rd Ste 1, Conway, AR 72034-6166 | 2017-10-05 |
| 1922517440 | Katherine Baxter | Case Manager/Care Coordinator | 350 Salem Rd Ste 1, Conway, AR 72034-6166 | 2017-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588160634 | Terri Lashun Butler | Peer Specialist | 15 Azalea Loop, Conway, AR 72032-8522 | 2018-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164032702 | Christopher Ray Rouse | Peer Specialist | 17235 Logan Cave Rd Lot 3, Siloam Springs, AR 72761-9223 | 2020-08-07 |
| 1538709290 | Kyle Ryan Keith | Peer Specialist | 25 Murphy Dr, Bella Vista, AR 72715-6913 | 2020-01-10 |
| 1548652332 | Jonathan Green | Peer Specialist | 710 Terry Ave, Springdale, AR 72764-6804 | 2015-03-03 |
| 1750994257 | Laretta Machelle Solomon | Peer Specialist | 17235 Logan Cave Rd Lot 3, Siloam Springs, AR 72761-9223 | 2020-08-25 |
| 1053944504 | Lonnie Phillips | Peer Specialist | 1521 Merrill Dr, Little Rock, AR 72211-1821 | 2020-02-12 |
| 1679127450 | Donterries L Alexander | Peer Specialist | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-07-30 |
| 1437621018 | Gary Wade Carter | Peer Specialist | 615 W Grand Ave, Hot Springs, AR 71901-3927 | 2018-12-20 |
| 1588032684 | Michael William Jones | Peer Specialist | 1500 Dodson Ave, Fort Smith, AR 72901-5182 | 2015-09-04 |
| 1386898765 | Raymond Zachary Bates | Peer Specialist | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2008-11-11 |
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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.