DR. MICHELLE WATTERS (NPI# 1124468707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124468707 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE WATTERS |
| Credential | PHARMD |
| Practice Address |
103 Landmark Dr Bellevue KY 41073-1393 |
| Mailing Address |
1577 Raintree Ct Elsmere KY 41018-1885 |
| Practice Telephone | 8592918665 |
| Mailing Telephone | 8596521868 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 016477 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033222542 | Michelle Theresa Watters | Preventive Medicine | 2121 W Taylor St, Sph/eohs, Occ. Med., Mc 684, Chicago, IL 60612-4224 | 2006-08-17 |
| 1497704282 | Michelle Marie Watters | Counselor | 200 Mercy Drive, Suite 200, Dubuque, IA 52001 | 2006-05-09 |
| Street Address |
103 LANDMARK DR |
| City | BELLEVUE |
| State | KY |
| Zip Code | 41073-1393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669471058 | Carol Roark | Pediatrics | 103 Landmark Dr, Ll2, Bellevue, KY 41073-1393 | 2005-07-18 |
| 1033756689 | Alicia J Obringer | Dietitian, Registered | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2019-12-03 |
| 1215468947 | Allyson Lilburn | Social Worker | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2017-03-24 |
| 1912440280 | Christy Renee Bowling | Nurse Practitioner | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2016-11-18 |
| 1861854648 | Amy N Reusch | Nurse Practitioner | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2016-03-22 |
| 1487056974 | Catherine Nicole Ellis | Nurse Practitioner | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2014-09-16 |
| 1659711851 | Olivia Mae Faulkner Estes | Dentist | 103 Landmark Dr, Bellevue, KY 41073 | 2013-07-02 |
| 1043657489 | Harold T. Pretorius, M.d. | Internal Medicine | 103 Landmark Dr, Suite 365, Bellevue, KY 41073-1393 | 2013-05-24 |
| 1083974737 | Dawn Marie Mbomyo | Social Worker | 103 Landmark Dr, Suite 380, Bellevue, KY 41073-1393 | 2012-05-29 |
| 1114229192 | Joy Ann Cunningham | Pharmacist | 103 Landmark Dr, Ste 103, Bellevue, KY 41073-1393 | 2010-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467618462 | Violet Marie Lichtenstein | Registered Nurse | 103 Landmark Drive, Bellevue La Health Care, Bellevue, KY 41073 | 2008-07-30 |
| 1033314554 | Healing Tables Ltd Co | Contractor | 405 Fairfield Ave, Bellevue, KY 41073 | 2007-06-15 |
| 1548391428 | Dana Porterfield | Physical Therapist | 103 Landmark Dr Lower Level, Patient First Pt, Bellevue, KY 41073 | 2007-03-09 |
| 1760527105 | Melissa Rose Sandoval | Social Worker | 103 Landmark Drive Ste 300, Department of Veteran's Affairs, Bellevue, KY 41073 | 2007-02-21 |
| 1619900784 | Mary D Huhn | Social Worker | 227 Fairfield Ave, 2nd Floor, Bellevue, KY 41073 | 2006-07-09 |
| 1972169746 | Christopher James Kersting | Nurse Practitioner | 53 Donnermeyer Dr, Bellevue, KY 41073 | 2019-05-16 |
| 1740627124 | Jeffery Braden Blankenship | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2013-05-27 |
| 1437404431 | Jennifer Amy Adams | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2012-07-17 |
| 1861439937 | Michael Grainger | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2006-05-31 |
| 1497792584 | Jeremy D Engel | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2006-05-31 |
| Find all providers in zip 41073 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754258 | Benjamin David Wilson | Pharmacist | 8110 Hghway 100, Bellevue, TN 37221 | 2020-09-09 |
| 1962047621 | Gina Renee Kalinowski | Pharmacist | 4315 Waterford Ave, Bellevue, NE 68123-6237 | 2019-11-16 |
| 1467093021 | Samantha Elyse Kenik | Pharmacist | 3308 Samson Way Ste 106, Bellevue, NE 68123-3235 | 2019-10-04 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1295283570 | Gina Kim | Pharmacist | 13024 Se 47th Pl, Bellevue, WA 98006-2070 | 2016-09-15 |
| 1396292173 | Ross Burnett | Pharmacist | 2331 130th Ave Ne Ste 200, Bellevue, WA 98005-1760 | 2016-09-08 |
| 1760939052 | Emilie Mika Ito | Pharmacist | 14118 Se 61st Pl, Bellevue, WA 98006-4375 | 2016-09-05 |
| 1972056398 | Bethany Coquerille | Pharmacist | 4411 Waterford Ave, Bellevue, NE 68123-6269 | 2016-08-02 |
| 1114396447 | Mary Pak | Pharmacist | 12267 Ne 3rd Pl, Bellevue, WA 98005-4821 | 2015-09-16 |
| 1932576436 | Sheryle Ishimoto | Pharmacist | 317 112th Ave Ne Apt 719, Bellevue, WA 98004-6572 | 2015-08-31 |
| Find all providers in BELLEVUE | ||||
Please comment or provide details below to improve the information on DR. MICHELLE WATTERS.
| 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.