KERRI PETERSON WEAVER


Address: 400 Reservoir Ave Ste Llo, Providence, RI 02907-3595
Phone: 4014674325

KERRI PETERSON WEAVER (NPI# 1649711144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649711144
Entity Type Individual
Full Name KERRI PETERSON WEAVER
Other Name KERRI ANN PETERSON
Practice Address 400 Reservoir Ave Ste Llo
Providence
RI 02907-3595
Practice Telephone 4014674325
Mailing Telephone 4014674325
Enumeration Date 2017-03-16
Last Update Date 2017-03-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers KERRI WEAVER

NPI Name Taxonomy Address Enumeration
1750620480 Kerri Ann Weaver Social Worker 4230 Hamilton Blvd, Sioux City, IA 51104 2013-01-31

Office Location

Street Address 400 RESERVOIR AVE STE LLO
City PROVIDENCE
State RI
Zip Code 02907-3595

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518522861 Catherine M Katzberg Massage Therapist Santosha Yoga Studio, 275 Reservoir Ave, Providence, RI 02907 2019-05-02
1104317007 Victa LLC Internal Medicine 110 Elmwood Ave # A, Providence, RI 02907 2018-05-25
1639566987 Southside Elementary Charter School Local Education Agency (LEA) 126 Somerset Street, Providence, RI 02907 2015-04-23
1063846558 Achievement First Providence Mayoral Academy Charter School Local Education Agency (LEA) 370 Hartford Aveneue, Providence, RI 02907 2013-09-03
1912297425 Reynaldo P Baduya Sr.,dmd Clinic/Center 252 Adelaide Avenue, Providence, RI 02907 2011-04-18
1821218587 Map Behavioral Health Serv. Inc. Community/Behavioral Health 66 Burnett Street, Providence, RI 02907 2007-04-26
1548336944 Angelica Redleaf Chiropractor 1196 Elmwood Avenue, Providence, RI 02907 2006-11-28
1174619878 Emilio Rodriguez-peris Internal Medicine 655 Broad Street, Suite 201, Providence, RI 02907 2006-10-04
1841381555 Maged Taman Internal Medicine 21 Peace Street, Providence, RI 02907 2006-09-27
1003924226 Gladys V Rezendes Psychologist 118 Comstock Avenue, Providence, RI 02907 2006-08-28
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932738416 Rhea Bhatia Counselor 219 Leah St Unit 2, Providence, RI 02908-3907 2020-04-06
1568098721 Roisin Mcgettigan Counselor 365 Hope St, Providence, RI 02906-1633 2020-03-19
1962049932 Wholelife Family Wellness Clinic of Providence Pllc Counselor 169 N Gateway Dr. Suite 170, Providence, UT 84332 2019-12-09
1679117675 Abbey Seabury Chrupcala Counselor 382 Thayer St, Providence, RI 02906-1558 2019-11-01
1205392891 Sara De Carvalho Counselor 21 Pratt St # 5, Providence, RI 02906-1424 2019-02-19
1376008078 Rebecca Zub Counselor 58 Taft Ave Apt 9, Providence, RI 02906-3473 2019-02-06
1821509944 Hologram Central Counselor 44 Barbara St Unit 1, Providence, RI 02909-5110 2017-10-16
1497273932 Ashley Jasmine Williams Counselor 131 Ledge St, Providence, RI 02904-1532 2017-09-05
1912448481 Catherine Allard Counselor 225 Carpenter St, Providence, RI 02903-3044 2017-03-16
1750838132 Brian Dicicco Counselor 591 Admiral St, Providence, RI 02908-1541 2016-09-02
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Competitor

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City PROVIDENCE
Zip Code 02907

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Dataset Information

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.

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