Individual ProviderSamantha WeaverNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address617 S 8th St, Nashville, TN 37206-3819(615) 227-3000PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Weaver is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1144745274Provider TypeIndividualFull NameWeaver, SamanthaCredentialFNP-CGenderFemaleSole ProprietorNoEnumeration Date8/9/2017Last Updated10/24/2018Contact InformationPractice LocationPractice Address617 S 8th St, Nashville, TN 37206-3819Phone(615) 227-3000FaxUnlisted FaxMailing LocationMailing Address2711 Foster Ave, Nashville, TN 37210-5307Phone(615) 227-3000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense22945Tennessee