Talitha Nikole Weaver, is a
Community Health Worker based in Santa Rosa, California. Talitha Nikole Weaver is licensed to practice in * (Not Available) (license number ) and her current practice location is
1260 N Dutton Ave, Santa Rosa, California. She can be reached at her office (for appointments etc.) via phone at
(707) 568-2300.
NPI number for Talitha Nikole Weaver is 1770290926 and her current mailing address is 523 Hetts Ln, Sebastopol, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770290926.
Healthcare Provider's Profile
| Full Name | Talitha Nikole Weaver |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 1260 N Dutton Ave, Santa Rosa, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1770290926
- Provider Enumeration Date: 10/27/2022
- Last Update Date: 11/01/2022
Medical Identifiers
Medical identifiers for Talitha Nikole Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770290926 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Talitha Nikole Weaver is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Talitha Nikole Weaver,
523 Hetts Ln,
Sebastopol, CA 95472-2727
Ph: (707) 953-4866 | Talitha Nikole Weaver,
1260 N Dutton Ave,
Santa Rosa, CA 95401-4659
Ph: (707) 568-2300 |
Reviews and Comments