IndividualActive
Jon Weaver, MA,CCC-A
NPI 1366442543 · Audiologist · Kokomo, IN
Provider details
- NPI number
- 1366442543
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- MA,CCC-A
- Sex
- Male
- License
- 23001956A (IN)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1542s Dixon Rd F
Kokomo, IN 46902-7320
Phone: (765) 457-4261
Fax: (754) 455-2577
Street-level locationGet directions
Mailing address
1542 S Dixon Rd #f
Kokomo, IN 46902-7320
Registry dates
- Enumerated
- 2005-07-28
- Last updated
- 2015-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.