DEBRA KAY WATERS (NPI# 1285950170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285950170 |
| Entity Type | Individual |
| Full Name | DEBRA KAY WATERS |
| Credential | MLT |
| Practice Address |
Black Coal Rd. Bldg. 29 Ft. Washakie WY 82514 |
| Mailing Address |
29 Black Coal Rd. Ft. Washakie WY 82514 |
| Practice Telephone | 3073327672 |
| Mailing Telephone | 3073327672 |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
21259 | TN | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | ASCP | 04121413 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205909579 | Debra K. Waters | Social Worker | 224 Great Bridge Blvd., Chesapeake Comm Serv Board, Chesapeake, VA 23320 | 2006-11-16 |
| Street Address |
BLACK COAL RD. BLDG. 29 |
| City | FT. WASHAKIE |
| State | WY |
| Zip Code | 82514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619527819 | Melissa Rose Pine | Registered Nurse | 29 Blackcole Road, Fort Washakie, WY 82514 | 2019-09-19 |
| 1982116794 | Madonna Lee Kienlen | Peer Specialist | 215 Ethete Road, Ft. Washakie, WY 82514 | 2017-11-02 |
| 1649789025 | Rebecca Charlene Willis | Technician, Other | Fort Washakie Healt Center Lab Ihs 29 Black Coal Drive, Fort Washakie, WY 82514 | 2017-09-28 |
| 1033553185 | Pauline Elizabeth Powers-peprah | Family Medicine | 29 Black Cole, Fort Washakie, WY 82514 | 2013-04-19 |
| 1528319373 | Amanda L Schultz | Licensed Practical Nurse | 110 Sharpnose Road, Fort Washakie, WY 82514 | 2012-09-19 |
| 1770898140 | Kelly Lynne Pretty Weasel | Clinic/Center | 29 Blackcole Dr, Fort Washakie, WY 82514 | 2010-08-10 |
| 1881919751 | Shoshone & Arapaho Tribal Substance Abuse Court | Clinic/Center | 215 Ethete Rd, Fort Washakie, WY 82514 | 2010-04-02 |
| 1770814253 | Christopher G Nelson | Spec/Tech, Pathology | 29 Black Coal Rd, Ft. Washakie, WY 82514 | 2010-01-22 |
| 1922339449 | Nina Williams | Spec/Tech, Pathology | Black Coal Rd Bldg 29, Ft Washakie, WY 82514 | 2010-01-22 |
| 1821329459 | Karen Fay Gibson | Clinical Medical Laboratory | 29 Blackcoal Dr., Laboratory, Fort Washakie, WY 82514 | 2010-01-21 |
| Find all providers in zip 82514 | ||||
| Taxonomy Code | 246RM2200X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Medical Laboratory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508259391 | Lauren Frantz | Technician, Pathology | 26 Quarter Horse Ln, Riverton, WY 82501-8861 | 2015-03-18 |
| 1336501782 | Mary Frances Hailey | Technician, Pathology | 14 Great Plains Road, Arapahoe, WY 82510 | 2016-03-24 |
| 1710224837 | Julie Ann Smith | Technician, Pathology | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2013-01-09 |
| 1649502527 | Beth Marie Kamminga I | Technician, Pathology | 29 Black Coal Dr., Fort Washakie, WY 82520 | 2010-02-03 |
| City | FT. WASHAKIE |
| Zip Code | 82514 |
Please comment or provide details below to improve the information on DEBRA KAY 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.