WILLIAM FREDERICK WATERS (NPI# 1053346908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053346908 |
| Entity Type | Individual |
| Full Name | WILLIAM FREDERICK WATERS |
| Credential | PH.D |
| Practice Address |
9001 Summa Ave Baton Rouge LA 70809-3726 |
| Mailing Address |
10310 The Grove Blvd Baton Rouge LA 70836-6455 |
| Practice Telephone | 2257615200 |
| Practice Fax Number | 2257615512 |
| Mailing Telephone | 2257615200 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
347 | LA | Behavioral Health & Social Service Providers |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
347 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1530760 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316360043 | William Waters | Pediatrics | 981 Townline Rd, Charlevoix, MI 49720-8970 | 2014-01-31 |
| 1609193846 | William Emerick Waters | Dentist | 3865 Rocky River Dr., #7, Cleveland, OH 44111 | 2010-04-28 |
| 1043436181 | William L. Waters | Physical Therapist | 247 Fraxinella St, Encinitas, CA 92024-3319 | 2007-04-17 |
| 1780795807 | William David Waters | Specialist | 3670 W Park Rd, Cleveland, OH 44111-5719 | 2006-08-31 |
| 1073623161 | William H Waters | Dentist | 127 Dodge St, Beverly, MA 01915-1830 | 2006-08-30 |
| 1235503178 | William Waters | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2015-11-16 |
| 1255610234 | William Waters | Counselor | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2011-08-09 |
| 1093014540 | William Robert Waters | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2011-03-23 |
| 1235312984 | William Barry Waters | Chiropractor | 1602 N 9th Ave, Pensacola, FL 32503-5522 | 2007-12-17 |
| 1215972278 | William C Waters Iv | Internal Medicine | 705 Dixie St, Carrollton, GA 30117-3818 | 2006-06-16 |
| Street Address |
9001 SUMMA AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700888997 | Douglas K Mendoza | Internal Medicine | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2005-06-01 |
| 1134696941 | Grace Elisabeth Mansfield | Nutritionist | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-10-30 |
| 1437644739 | Blakeney Mcknight | Physician Assistant | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-06-28 |
| 1801380217 | Tiffany Ann Beauchamp | Specialist/Technologist | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-06-19 |
| 1265925515 | Aimee Elizabeth Lestage | Speech-Language Pathologist | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-06-12 |
| 1053800599 | Tyesha Taylor | Nurse Practitioner | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-05-09 |
| 1124479357 | Mary Hufft | Physician Assistant | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2016-06-29 |
| 1144689399 | Rachelle Sanders | Nurse Practitioner | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2016-02-16 |
| 1932568250 | Gina Heagy Braud | Dietitian, Registered | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2016-02-15 |
| 1366816837 | Kelly Chambers Mendoza | Nurse Practitioner | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2015-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849987 | Fcfiv, LLC | Psychologist | 6161 Perkins Rd Ste 1d, Baton Rouge, LA 70808-4119 | 2020-04-03 |
| 1366977548 | Alex Semyon Cohen | Psychologist | 236 Audubon Hall, Baton Rouge, LA 70808-0000 | 2017-04-26 |
| 1760922868 | Sonia Blauvelt | Psychologist | 2210 Siegen Lane, Suite 2a, Baton Rouge, LA 70810- | 2017-03-08 |
| 1497006613 | Charles Andrew Yarborough | Psychologist | 10724 Misty Vale Ave, Baton Rouge, LA 70810-3030 | 2012-09-27 |
| 1245507821 | Jmj Psychological Services, LLC | Psychologist | 921 N Lobdell Blvd, Suite D, Baton Rouge, LA 70806-8811 | 2011-11-26 |
| 1891989398 | Monique M Leblanc | Psychologist | 7656 Jefferson Hwy # 1a, Baton Rouge, LA 70809-1101 | 2007-08-28 |
| 1285847368 | Robert Roy Allen | Psychologist | 2507 Berrybrook Dr, Baton Rouge, LA 70816-2886 | 2007-05-07 |
| 1780805853 | Thomas J Hannie Jr. | Psychologist | 4611 Bluebonnet Blvd., Ste B, Baton Rouge, LA 70809 | 2007-05-02 |
| 1104040989 | David B Hale | Psychologist | 10562 Ranchwood Dr, Baton Rouge, LA 70815-5040 | 2007-04-12 |
| 1326261785 | Patricia Mary Aptaker | Psychologist | 12640 Lazy K Ave, Baton Rouge, LA 70810-4743 | 2007-04-11 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on WILLIAM FREDERICK WATERS.
| 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.