MRS. KHONNAH WEITHERS FNP-BC
NPI 1447783188
Nurse Practitioner - Family in South Bend, IN

Active since April 10, 2017
621 MEMORIAL DR, SUITE 512, SOUTH BEND, IN 46601(574) 246-9350 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 26, 2018, Apr 10, 2017 (2 updates tracked since 2017).

About Mrs. Khonnah Weithers Fnp-bc NPPES

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

MRS. KHONNAH WEITHERS FNP-BC (NPI 1447783188) is an individual family provider in South Bend, Indiana, licensed in Indiana (71007029A) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1447783188
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KHONNAH WEITHERSCredential: FNP-BC
Location Address621 MEMORIAL DR, SUITE 512South Bend, IN 46601-1063
Mailing Address621 Memorial Dr Ste 512South Bend, IN 46601-1075 · (574) 246-9350
Sole ProprietorNo
Enumeration DateApril 10, 2017
Last NPPES UpdateMarch 26, 20182 updates tracked since enumeration
NPI 1447783188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71007029A
621 MEMORIAL DR, South Bend, IN 46601

Other Providers at the Same Location NPPES 20

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

Specialist
621 MEMORIAL DR, STE 502
SOUTH BEND, IN 46601
Surgery
621 MEMORIAL DR, SUITE 502
SOUTH BEND, IN 46601
Colon & Rectal Surgery
621 MEMORIAL DR
SOUTH BEND, IN 46601
Internal Medicine (Cardiovascular Disease)
621 MEMORIAL DR, SUITE 608
SOUTH BEND, IN 46601
Obstetrics & Gynecology
621 MEMORIAL DR, SUITE 616
SOUTH BEND, IN 46601
Surgery (Vascular Surgery)
621 MEMORIAL DR
SOUTH BEND, IN 46601
Psychiatry & Neurology (Neurology)
621 MEMORIAL DR, SUITE 624
SOUTH BEND, IN 46601
Surgery
621 MEMORIAL DR, STE 502
SOUTH BEND, IN 46601

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 Khonnah Weithers's NPI number?

The NPI number for Khonnah Weithers is 1447783188. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Khonnah Weithers located?

Khonnah Weithers practices at 621 Memorial Dr Suite 512, South Bend, IN 46601. The listed phone number is (574) 246-9350.

What is Khonnah Weithers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Khonnah Weithers was last updated on March 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.