Lisa A Weaver
Lisa A Weaver is a healthcare organization registered as Family Medicine Physician in Pulaski, TN, holding Type 2 (organization) NPI 1659447654 since 2006. The authorized official on file is Lisa Weaver, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1659447654 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lisa A Weaver |
| Other name | <Unavail> |
| Practice address | 104 IVY LN, Pulaski, TN, 38478 |
| Phone | 9314241330 |
| Fax | 9314240019 |
| Enumeration date | 2006-11-28 |
| Last updated in NPPES | 2015-02-02 |
Authorized official
| Name | Lisa Weaver |
|---|---|
| Title | Owner |
| Phone | 9314241330 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3710887 | Medicaid | TN | — |
Copy-ready billing details
Provider: Lisa A Weaver NPI: 1659447654 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 104 IVY LN, Pulaski, TN, 38478
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134124902 | Lisa Weaver | Individual | Family Nurse Practitioner | Pulaski, TN |
| 1316156730 | Tim Brooks | Individual | Professional Counselor | Pulaski, TN |
| 1144052002 | Amg-Hillside LLC | Organization | Rural Health Clinic/Center | Pulaski, TN |
Verify this record
Cross-check NPI 1659447654 against the authoritative CMS record: view Lisa A Weaver on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Lisa A Weaver?
Who is the authorized official for Lisa A Weaver?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-02-02.