MS. KATHLEEN ANNE WATERS (NPI# 1295028959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295028959 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN ANNE WATERS |
| Credential | APRN |
| Practice Address |
Charleston Center 5 Charleston Center Drive Charleston SC 29401 |
| Practice Telephone | 8439583333 |
| Mailing Telephone | 8439583333 |
| Mailing Fax Number | 8437698216 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2019-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4447 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
4447 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407390545 | Kathleen Waters | Occupational Therapy Assistant | 1006 Allandale Cir, Kingsport, TN 37660-9002 | 2016-12-08 |
| 1578096590 | Kathleen Marie Waters | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, 2nd Floor, Atlanta, GA 30303-3049 | 2017-04-06 |
| 1205189727 | Kathleen Waters | Registered Nurse | 874 Purchase St, New Bedford, MA 02740-6232 | 2012-10-22 |
| Street Address |
CHARLESTON CENTER 5 CHARLESTON CENTER DRIVE |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162873 | Jonathan Hayes | Registered Nurse | 109 Bee St. Ralph H. Johnson Vamc, Charleston, SC 29401 | 2017-09-05 |
| 1659724904 | M & M Lineberger Dds Ms Pa | Dentist | 347 N. Caswell, Charlotte, NC 29401 | 2016-07-21 |
| 1619375185 | Zach Adams | Specialist/Technologist | 301 Meeting Street, Charleston, SC 29401 | 2014-12-15 |
| 1528469723 | Linda Graber | Occupational Therapist | 75 Calhoun Street, Charleston County Schools, Charleston, SC 29401 | 2014-09-08 |
| 1427497858 | Erika Lynn Wilson | Mechanotherapist | 310 King Street, Charleston, SC 29401 | 2013-06-19 |
| 1730525460 | Mary Beth Hill | Psychologist | 75 Cahoun Street, Charleston, SC 29401 | 2013-05-21 |
| 1699019810 | Chs Psychiatric Associates LLC | Psychiatric Hospital | 255 King Street #8, Charleston, SC 29401 | 2012-11-15 |
| 1255681581 | Parul Olivia Earley | Pharmacist | 59 George St., Charleston, SC 29401 | 2012-09-13 |
| 1669760815 | Dana Leigh Chiulli | Pharmacist | 109 Bee Street (119), Charleston, SC 29401 | 2011-07-20 |
| 1649599432 | Ruth G. Sykora | Massage Therapist | 45 Courtenay Drive, Center for Therapuetic Massage, Charleston, SC 29401 | 2010-05-19 |
| Find all providers in zip 29401 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932420056 | Rebecca M Orr | Nurse Practitioner | 2085 Henry Tecklenburg Blvd., 2nd Floor, Charleston, SC 29414-7710 | 2010-06-14 |
| 1255360566 | Julia M Anderson | Nurse Practitioner | 2097 Henry Tecklenburg Dr Ste 201w, Charleston, SC 29414-5739 | 2006-06-30 |
| 1760485957 | Amy Marie Perry | Nurse Practitioner | 109 Bee St, Charleston, SC 29401-5703 | 2005-05-23 |
| 1306487343 | Janice Bruce | Nurse Practitioner | 125 Doughty St Ste 280, Charleston, SC 29403-5727 | 2019-10-01 |
| 1699325183 | Kristy Carter Anderson | Nurse Practitioner | 109 Bee St, Charleston, SC 29401-5703 | 2019-09-17 |
| 1700439551 | Marie Christine Beck | Nurse Practitioner | 316 Calhoun St, Charleston, SC 29401-1113 | 2019-07-22 |
| 1184117889 | Michelle Price | Nurse Practitioner | 2270 Ashley Crossing Dr Ste 150, Charleston, SC 29414-5702 | 2018-06-07 |
| 1598289878 | Leah Wells | Nurse Practitioner | 2097 Henry Tecklenburg Dr Ste 201w, Charleston, SC 29414-5739 | 2017-07-28 |
| 1235674607 | William Angus Pursley | Nurse Practitioner | 109 Bee St, Charleston, SC 29401-5703 | 2016-12-21 |
| 1447702451 | Tamara Nuss | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2016-10-26 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29401 |
Please comment or provide details below to improve the information on MS. KATHLEEN ANNE 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.