Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katrina Lee Weaver, MD

Individual provider Pediatric Surgery Physician · NPI 1689804759

Katrina Lee Weaver, MD is a Pediatric Medicine in Roanoke, Virginia. Graduated from University of Utah School of Medicine in 2009, 17 years ago. Practices with Kalispell Regional Medical Center Inc, a 418-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Alabama, Missouri, Montana and South Carolina and 1 more.

Years since qualifying
17
Trained at
University of Utah School of Medicine
Licensed in
AL, MO, MT, SC, VA
In the registry since
2009
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4348 Electric Rd
Roanoke, VA 24018-0720
Phone: (540) 769-0976
Fax: (540) 857-5383
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1601 Center St, Mobile, AL 36604-1541 — (251) 415-1475
  • 202 Conway Dr Ste 200, Kalispell, MT 59901-3153 — (406) 758-7490
  • 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 — (803) 434-4555

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0101278072 (VA)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence MED-PHYS-LIC-123987 (MT)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 2015020981 (MO)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence 96786 (SC)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence MD.32264 (AL)
Surgery Physician Taxonomy 208600000X · Licence MD.32264 (AL)

Record details

NPI number1689804759
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 22, 2009
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Kalispell Regional Medical Center Inc — 418 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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