MS. BONNIE JEAN WATERS (NPI# 1023476744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023476744 |
| Entity Type | Individual |
| Full Name | MS. BONNIE JEAN WATERS |
| Credential | RN, BSN |
| Practice Address |
4000 Kresge Way Louisville KY 40207-4605 |
| Mailing Address |
420 Knightsbridge Rd Louisville KY 40206-1410 |
| Practice Telephone | 5028978000 |
| Mailing Telephone | 5026898346 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
1128160 | KY | Nursing Service Providers |
| Street Address |
4000 KRESGE WAY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851396568 | Pamela Denise Dugan | Registered Nurse | 4000 Kresge Way, Louisville, KY 40207-4605 | 2005-06-17 |
| 1902420102 | Lauren Day | Nurse Anesthetist, Certified Registered | 4000 Kresge Way, Louisville, KY 40207-4605 | 2020-06-03 |
| 1871115162 | Julie Grear Thoben | Nurse Practitioner | 4000 Kresge Way, Louisville, KY 40207-4605 | 2020-05-11 |
| 1699396770 | Stephanie Taylor Oliver | Pharmacist | 4000 Kresge Way, Louisville, KY 40207-4605 | 2020-04-30 |
| 1740800978 | Shaina Scarlett Doyen | Pharmacist | 4000 Kresge Way, Louisville, KY 40207-4605 | 2020-04-17 |
| 1396376083 | Louis Paschal Glavinos Sr. | Pharmacist | 4000 Kresge Way, Louisville, KY 40207-4605 | 2020-01-31 |
| 1821635558 | Baptist Healthcare System Inc | Ambulance | 4000 Kresge Way, Louisville, KY 40207-4605 | 2019-12-02 |
| 1316597982 | Brenda Wingham | Nurse Anesthetist, Certified Registered | 4000 Kresge Way, Louisville, KY 40207-4605 | 2019-09-16 |
| 1255848495 | Abigail Rae Martin | Nurse Anesthetist, Certified Registered | 4000 Kresge Way, Louisville, KY 40207-4605 | 2018-01-09 |
| 1972026524 | Christina Anne Weiermann | Registered Nurse | 4000 Kresge Way, Louisville, KY 40207-4605 | 2017-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930756 | Samantha Chestnut | Registered Nurse | 10301 Thrift Dr Apt 103, Louisville, KY 40223-0096 | 2020-10-26 |
| 1558999540 | Suzanne Michelle Laird-attum | Registered Nurse | 5300 Southern Pkwy, Louisville, KY 40214-1326 | 2020-03-27 |
| 1609124577 | Paula Marie Sherman | Registered Nurse | 1205 Winter Springs Ct, Unit 103, Louisville, KY 40243-2914 | 2012-08-26 |
| 1790794717 | Linda Sparks | Registered Nurse | 5502 Saxon Blvd, Louisville, KY 40219 | 2006-08-07 |
| 1689179400 | Tina Louise Foley | Registered Nurse | 7926 Preston Hwy Ste 106, Louisville, KY 40219-3848 | 2018-03-25 |
| 1629251608 | Christine Margaret Hamilton | Registered Nurse | 800 Zorn Ave, Louisville, KY 40206-1433 | 2007-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537537 | Casey Lynn Mattingly | Registered Nurse | 204 Kelly St, Paris, KY 40361-1516 | 2020-08-01 |
| 1639791908 | Lauren Read | Registered Nurse | 124 Poteet Ct, Bowling Green, KY 42104-6455 | 2020-05-10 |
| 1821626441 | Stephanie Priest | Registered Nurse | 845 Delaney Ferry Rd, Versailles, KY 40383-9505 | 2020-03-30 |
| 1902395528 | Whitney Nacole Rowe | Registered Nurse | Kings Daughters Medical Center Greenup Primary Care, 1629 Ashland Rd, Greenup, KY 41144 | 2018-05-09 |
| 1730688979 | Renee Anastasia Miller | Registered Nurse | 1151 W 9th St, Russellville, KY 42276-9760 | 2018-02-02 |
| 1750751327 | Jeffrey Lyons | Registered Nurse | 390 Stallworth Ct, Elsmere, KY 41018-1959 | 2015-09-25 |
| 1700191228 | Lee Ann Grainger Keller | Registered Nurse | 1860 J H O'bryan Ave, Grand Rivers, KY 42045 | 2010-08-09 |
| 1538760020 | Megan Sullivan | Registered Nurse | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2020-11-03 |
| 1568090819 | Aubrey Lynn Harman | Registered Nurse | 2700 Old Rosebud Rd Ste 350, Lexington, KY 40509-8630 | 2020-03-31 |
| 1073141800 | Katrina Ekmann | Registered Nurse | 310 S Limestone, Lexington, KY 40508-3008 | 2020-03-28 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.