DR. KENDRA RENEE WEAVER PSY.D.
NPI 1154355717
Psychologist - Addiction (Substance Use Disorder) in Mountain Home, TN

Q: What is Kendra Weaver's NPI number?

The NPI number for Kendra Weaver is 1154355717. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Kendra Weaver's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kendra Weaver was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 10, 2006

JAMES H. QUILLEN/VAMC, CORNER OF SIDNEY AND LAMONT (JOHNSON CITY), MOUNTAIN HOME, TN 37684(423) 926-1171 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Kendra Renee Weaver Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENDRA RENEE WEAVER PSY.D. (NPI 1154355717) is an individual addiction (substance use disorder) provider in Mountain Home, Tennessee, licensed in Tennessee (P0000002474) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1154355717

Entity TypeIndividualFemale

Primary Taxonomy103TA0400X

Provider Legal NameDR. KENDRA RENEE WEAVERCredential: PSY.D.

Location AddressJAMES H. QUILLEN/VAMC, CORNER OF SIDNEY AND LAMONT (JOHNSON CITY)Mountain Home, TN 37684

Mailing Address223 Mark DrGray, TN 37615-3856 · (423) 926-1171

Phone(423) 926-1171

Sole ProprietorNo

Enumeration DateJuly 10, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1154355717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code103TA0400X

License✔ Licensed in TN · P0000002474

Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License P0000002474 (TN)

JAMES H. QUILLEN/VAMC, Mountain Home, TN 37684

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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID NORTHERN WALTERS MD

Surgery

JAMES H. QUILLEN/VAMC, CORNER OF SIDNEY AND LAMONT
JOHNSON CITY, TN 37684

Washington County (423) 926-1171

MISS EVELYN MARIE REILMAN R.D.

Dietitian, Registered

JAMES H. QUILLEN/VAMC, CORNER OF SIDNEY AND LAMONT (JOHNSON CITY)
MOUNTAIN HOME, TN 37684

Washington County (423) 979-2948

DR. DIANNE LESLIE HANSEN M.D.

Psychiatry & Neurology (Psychiatry)

JAMES H. QUILLEN/VAMC, CORNER OF SIDNEY AND LAMONT (JOHNSON CITY)
MOUNTAIN HOME, TN 37684

Washington County (423) 926-1171

DR. JOHN MARK KOLSKI MD

Urology

JAMES H. QUILLEN/VAMC, CORNER OF SIDNEY AND LAMONT
JOHNSON CITY, TN 37684

Washington County (423) 926-1171

RICHARD CRANE HAASER M.D.

Psychiatry & Neurology (Psychiatry)

JAMES H. QUILLEN/VAMC, CORNER OF SIDNEY AND LAMONT (JOHNSON CITY)
MOUNTAIN HOME, TN 37684

Washington County (423) 926-1171

MR. GERALD STEVEN MEREDITH PMH-NP

Nurse Practitioner (Psychiatric/Mental Health)

JAMES H. QUILLEN/VAMC, CORNER OF SIDNEY AND LAMONT
MOUNTAIN HOME, TN 37684

Washington County (423) 926-1171

DR. SCOTT BRYSON COOPER M.D.

Internal Medicine

JAMES H. QUILLEN/VAMC, CORNER OF SYDNEY AND LAMONT
JOHNSON CITY, TN 37684

Washington County (423) 926-1171

MS. SHARON KAY GARRIS R.N.

Registered Nurse (Addiction (Substance Use Disorder))

JAMES H. QUILLEN/VAMC, CORNER OF SIDNEY AND LAMONT
MOUNTAIN HOME, TN 37684

Washington County (423) 926-1171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendra Weaver's NPI number?

The NPI number for Kendra Weaver is 1154355717. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Kendra Weaver located?

Kendra Weaver practices at James H. Quillen/Vamc Corner Of Sidney And Lamont (johnson City), Mountain Home, TN 37684. The listed phone number is (423) 926-1171.

What is Kendra Weaver's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Kendra Weaver was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.