MARK ALAN WEAVER (NPI# 1558926154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558926154 |
| Entity Type | Individual |
| Full Name | MARK ALAN WEAVER |
| Practice Address |
851 E Westpoint Dr Ste 310 Wasilla AK 99654-7183 |
| Practice Telephone | 9073575400 |
| Practice Fax Number | 9073575477 |
| Mailing Telephone | 9073575400 |
| Mailing Fax Number | 9073575477 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1033246343 | Mark A. Weaver | Optometrist | 1001 Buchanan Dr Ste 3, Burnet, TX 78611-2329 | 2007-02-27 |
| 1124138755 | Mark S Weaver | Dentist | 4638 Westgate Blvd, Austin, TX 78745-1461 | 2006-08-30 |
| 1295722080 | Mark E Weaver | Podiatrist | 1645 Colonial Blvd, Fort Myers, FL 33907-1101 | 2005-10-05 |
| 1033614854 | Mark Kainbridge Weaver | Student in an Organized Health Care Education/Training Program | 1250 E 66th St, Savannah, GA 31404-5704 | 2018-03-25 |
| 1801274600 | Mark Weaver | Physician Assistant | 4425 E Agave Rd, Suite 148, Phoenix, AZ 85044-0619 | 2015-05-12 |
| 1154608180 | Mark Edwin Weaver | General Practice | 158 Wetherby Ln, Westerville, OH 43081-4957 | 2011-11-04 |
| 1194005090 | Mark Alexander Weaver | Specialist/Technologist | 325 Cherry Ave, Mc Kenzie, TN 38201-1769 | 2011-08-23 |
| 1801949045 | Mark L Weaver | Physical Therapist | 317 N. Faler Ave, Pinedale, WY 82941 | 2007-01-19 |
| 1508928680 | Mark Shannon Weaver | Counselor | 2000 Yonkers Rd, Raleigh, NC 27604-2258 | 2006-12-14 |
| 1982796678 | Mark T. Weaver | Counselor | 2285 Benden Dr, Wooster, OH 44691-2568 | 2006-09-29 |
| Street Address |
851 E WESTPOINT DR STE 310 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144343377 | Rosalilia Gomez | Counselor | 851 E Westpoint Dr Ste 310, Wasilla, AK 99654-7183 | 2007-04-10 |
| 1588261168 | Giulietta Minerva | Technician | 851 E Westpoint Dr Ste 310, Wasilla, AK 99654-7183 | 2020-10-06 |
| 1588274286 | Jodi Janee Wolcoff | Case Manager/Care Coordinator | 851 E Westpoint Dr Ste 310, Wasilla, AK 99654-7183 | 2020-08-06 |
| 1225647662 | Justina Lorene Christensen | Case Manager/Care Coordinator | 851 E Westpoint Dr Ste 310, Wasilla, AK 99654-7183 | 2020-07-30 |
| 1639716871 | Lindsey N Pitts | Counselor | 851 E Westpoint Dr Ste 310, Wasilla, AK 99654-7183 | 2019-12-06 |
| 1760029938 | Danielle Sprague | Counselor | 851 E Westpoint Dr Ste 310, Wasilla, AK 99654-7183 | 2019-12-05 |
| 1487219200 | Charles Hurst Van Ravenswaay | Case Manager/Care Coordinator | 851 E Westpoint Dr Ste 310, Wasilla, AK 99654-7183 | 2019-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| 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 |
|---|---|---|---|---|
| 1215552526 | Joshua Dee Engle | Peer Specialist | 1419 S Kittiwake St, Wasilla, AK 99623-9302 | 2020-06-11 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1104449800 | Aubrey Danielle Cave | Peer Specialist | 5752 W Kranberry Ln, Wasilla, AK 99623-1050 | 2020-05-28 |
| 1629610563 | Mikko Joseph Barribeau | Peer Specialist | 2762 N Azurite Cir, Wasilla, AK 99654-4540 | 2019-10-11 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1376107979 | John Zaakery Wilson | Peer Specialist | 3350 E Beech Way # A, Wasilla, AK 99654-7417 | 2019-04-29 |
| 1912506098 | Christopher Johnson | Peer Specialist | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2020-10-20 |
| 1497353874 | Brianne Jean Bird | Peer Specialist | 291 E Swanson Ave, Wasilla, AK 99654-7004 | 2020-10-16 |
| 1003420183 | Brittany Lynne Russell | Peer Specialist | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2020-09-04 |
| 1124632419 | Sydney Grisham | Peer Specialist | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-09-03 |
| Find all providers in WASILLA | ||||
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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.