JACQUELINE LACIE RAYNE WEBER
NPI 1750022786
Student in an Organized Health Care Education/Training Program in Warwick, RI

Q: What is Jacqueline Weber's NPI number?

The NPI number for Jacqueline Weber is 1750022786. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Jacqueline Weber's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Weber was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 April 05, 2022PECOS Enrolled

455 TOLL GATE RD, WARWICK, RI 02886(401) 737-7010 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jacqueline Lacie Rayne Weber NPPES

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

JACQUELINE LACIE RAYNE WEBER (NPI 1750022786) is an individual student in an organized health care education/training program in Warwick, Rhode Island and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750022786

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJACQUELINE LACIE RAYNE WEBER

Location Address455 TOLL GATE RDWarwick, RI 02886-2759

Mailing Address455 Toll Gate RdWarwick, RI 02886-2759 · (401) 737-7010

Phone(401) 737-7010

Sole ProprietorNo

Enumeration DateApril 5, 2022

NPPES CertifiedApril 4, 2022

✔ NPI 1750022786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

455 TOLL GATE RD, Warwick, RI 02886

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Lacie Rayne Weber is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. STERLING LEAF MALISH M.D.

Internal Medicine