{"npi":"1295831352","type":"NPI-1","status":"active","name":{"display":"Kelly Weaver MD","other":[],"first":"KELLY","last":"WEAVER","middle":"B","credential":"MD"},"specialty":{"primary_taxonomy":"208100000X","primary_taxonomy_description":"Physical Medicine & Rehabilitation","slug":"physical-medicine-rehabilitation","schema_org_specialty":"Musculoskeletal","all":[{"code":"208100000X","description":"Physical Medicine & Rehabilitation","primary":true,"state":"WA","license":"MD00038761"}]},"addresses":[{"purpose":"LOCATION","street_1":"1330 ROCKEFELLER AVE","city":"EVERETT","state":"WA","postal_code":"982011684","country_code":"US","phone":"4253395476"},{"purpose":"MAILING","street_1":"PO BOX 5127","city":"EVERETT","state":"WA","postal_code":"982065127","country_code":"US","phone":"4252583903"}],"license":{"state":"WA","number":"MD00038761"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1007095","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101207001382","type_code":"14-25","type_desc":"PRACTITIONER - PHYSICAL MEDICINE AND REHABILITATION","state":"WA","pac_id":"7517154248"}]},"enumeration_date":"2006-09-16","last_updated":"2025-11-14","_meta":{"source":"NPPES","snapshot_date":"2025-11-14","doc_url":"https://findmynpi.com/api"}}