Look up the most recent NPI and PECOS records

Kaitlyn Weaver

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2145 Morningside Dr, Pensacola, FL 32503-3423

PECOS Enrollment

Based on the most recent information from CMS, provider Kaitlyn Weaver does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1710443486
Provider Type
Individual
Full Name
Weaver, Kaitlyn
Credential
NURSE PRACTITIONER

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/18/2019
Last Updated
12/4/2024

Contact Information

Practice Location

2145 Morningside Dr, Pensacola, FL 32503-3423

(662) 678-3258

Unlisted Fax

Mailing Location

2145 Morningside Dr, Pensacola, FL 32503-3423

(662) 678-3258

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11001901 Florida
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11001901 Florida
Code 363LG0600X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 903114 Mississippi

Kaitlyn Weaver

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Gapasin, Lucresia