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

Kimberly Weaver

Individual provider Family Nurse Practitioner · NPI 1083944524

Kimberly Weaver is a Nurse Practitioner in Greenville, Pennsylvania. Qualified in 2009, 17 years ago. Accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
17
Licensed in
PA
In the registry since
2010
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Practice location Address checks out

12 Sherrard Ave
Greenville, PA 16125
Phone: (724) 456-4551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP010645 (PA)

Record details

NPI number1083944524
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 6, 2010
Last updated in NPPESOctober 25, 2012
Mailing address12 Sherrard Avenue, Greenville, PA 16125

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greenville