MRS. SHIRLEY ANN WATERHOUSE (NPI# 1295042950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295042950 |
Entity Type | Individual |
Full Name | MRS. SHIRLEY ANN WATERHOUSE |
Credential | RN, ANP-C |
Practice Address |
1025 W 24th St Ste 15 Yuma AZ 85364 |
Mailing Address |
9775 Rockside Road # 270 Valley View OH 44125-6275 |
Practice Telephone | 9283446100 |
Mailing Telephone | 2166549300 |
Enumeration Date | 2010-09-01 |
Last Update Date | 2019-06-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
12242-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | STATE MEDICAL LICENSE | AP10160 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1025 W 24th St Ste 15, Yuma, AZ 85364 | 9283446100 | |
2435 S Avenue A Ste C, Yuma, AZ 853647176 | 9287821903 | 9287821703 |
Street Address |
1025 W 24TH ST STE 15 |
City | YUMA |
State | AZ |
Zip Code | 85364 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831655760 | Rta Hospice, LLC | Internal Medicine | 1025 W 24th St Ste 15, Yuma, AZ 85364-8373 | 2019-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
Find all providers in zip 85364 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831197540 | Judith Lynn Karg | Nurse Practitioner | 2555 E Gila Ridge Rd, Yuma, AZ 85365-2240 | 2005-07-07 |
1093171456 | Dawn Jannice Domenech | Nurse Practitioner | 2851 S Avenue B, Building 4, Yuma, AZ 85364-7726 | 2016-01-14 |
1245515808 | Catherine Gates | Nurse Practitioner | 3970 W 24th St, Suite 214, Yuma, AZ 85364-9255 | 2011-10-14 |
1487701512 | Luz Maria Wiley | Nurse Practitioner | 1220 W 24th St, Suite 1, Yuma, AZ 85364-8705 | 2007-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255947404 | Alyssa Marie Lehn | Nurse Practitioner | 7501 E Mcdowell Rd Apt 3167, Scottsdale, AZ 85257-3574 | 2020-09-22 |
1205440310 | Alexa Kucharo | Nurse Practitioner | 4111 N Drinkwater Blvd Apt B405, Scottsdale, AZ 85251-3658 | 2020-09-04 |
1942819230 | Care On Pllc | Nurse Practitioner | 7171 S 51 Ave, Phoenix, AZ 85339-2923 | 2020-07-23 |
1720605231 | Sadie Franco | Nurse Practitioner | 8581 N Rolling River Dr, Tucson, AZ 85743-1451 | 2020-06-30 |
1134746951 | Leah Beth Richardson | Nurse Practitioner | 2970 N Litchfield Rd Ste 120, Goodyear, AZ 85395-7831 | 2020-06-27 |
1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
1073141529 | Shannalee Senior | Nurse Practitioner | 12574 W Mazatzal Dr, Peoria, AZ 85383-0379 | 2020-03-31 |
1821621996 | Healthy Scottsdale, LLC | Nurse Practitioner | 7534 E 2nd St Ste 101, Scottsdale, AZ 85251-4548 | 2020-02-18 |
1710522024 | Kelsey Conrad | Nurse Practitioner | 1 E Lexington Ave Unit 1602, Phoenix, AZ 85012-4203 | 2019-11-11 |
1124662408 | Rayiom Health and Wellness, Inc | Nurse Practitioner | 11225 N 28th Dr Ste A102-22, Phoenix, AZ 85029-5606 | 2019-10-30 |
Find all providers with the same taxonomy |
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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.