MR. JEFFERY A WATERS (NPI# 1326010174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326010174 |
| Entity Type | Individual |
| Full Name | MR. JEFFERY A WATERS |
| Credential | PA-C |
| Practice Address |
225 S Union Blvd Colorado Springs CO 80910-3184 |
| Mailing Address |
1730 N Corona St Colorado Springs CO 80907-7644 |
| Practice Telephone | 7196325700 |
| Practice Fax Number | 7193860508 |
| Mailing Telephone | 7196306440 |
| Mailing Fax Number | 7192286609 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2018-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 909 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 61007765 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760675607 | Jeffery J Waters | Rehabilitation Practitioner | 15305 Rayen St, North Hills, CA 91343-5117 | 2007-08-23 |
| Street Address |
225 S UNION BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80910-3184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014495 | Camilla Ann Bicknell | Registered Nurse | 225 S Union Blvd, Colorado Springs, CO 80910-3184 | 2005-06-22 |
| 1417566183 | Trissana Deleon | Nurse Practitioner | 225 S Union Blvd, Colorado Springs, CO 80910-3184 | 2020-07-28 |
| 1568962850 | Melissa Mitton | Registered Nurse | 225 S Union Blvd, Colorado Springs, CO 80910-3184 | 2018-02-14 |
| 1659811404 | Kara Novak | Nurse Practitioner | 225 S Union Blvd, Colorado Springs, CO 80910-3184 | 2017-02-27 |
| 1972961720 | Tara Drerup | Registered Nurse | 225 S Union Blvd, Colorado Springs, CO 80910-3184 | 2016-02-08 |
| 1508260019 | Laurri Jones | Nurse Practitioner | 225 S Union Blvd, 2nd Floor, Colorado Springs, CO 80910-3184 | 2014-10-13 |
| 1134535586 | Patricia D Bursnall | Nurse Practitioner | 225 S Union Blvd, Colorado Springs, CO 80910-3184 | 2014-07-07 |
| 1063827442 | Miriam Dawn Hughes | Advanced Practice Midwife | 225 S Union Blvd, Second Floor, Colorado Springs, CO 80910-3184 | 2014-06-24 |
| 1588088942 | Tara Melborne | Registered Nurse | 225 S Union Blvd, Second Floor, Colorado Springs, CO 80910-3184 | 2014-02-05 |
| 1275816274 | Brett Michael Waite | Physician Assistant | 225 S Union Blvd, First Floor, Colorado Springs, CO 80910-3184 | 2011-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955403 | Marian Lin Mondy | Social Worker | 2909 Wellshire Blvd., Colorado Springs, CO 80910 | 2019-08-01 |
| 1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
| 1134617038 | Paul Gross | Counselor | 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 | 2018-04-25 |
| 1821502923 | Kathleen Lubos Ambros-dahilig | Dental Assistant | 2240 Gilpin Ave, Colorado Springs, CO 80910 | 2017-11-28 |
| 1508384793 | Shawn Maul | Registered Nurse | 115 S Parkside, Colorado Springs, CO 80910 | 2017-09-07 |
| 1376910521 | Kelley Elizabeth Smith Bouchard | Nurse Practitioner | 3225 International Circle Suite 220, Colorado Springs, CO 80910 | 2015-08-24 |
| 1619353430 | Dr. Steven Alan Gould Dds PC | Dentist | 2859 E. Fountain Blvd, Colorado Springs, CO 80910 | 2015-08-04 |
| 1881029155 | Francis Hammet | Chiropractor | 411 Lakewood Circle A1104, Colorado Springs, CO 80910 | 2013-09-05 |
| 1447697586 | Mcb Clinical Research Centers, LLC | Psychologist | 110 S. Parkside Drive, Colorado Springs, CO 80910 | 2013-05-30 |
| 1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
| Find all providers in zip 80910 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265054431 | Kimberly Goyack | Physician Assistant | 10807 New Allegiance Dr Ste 450, Colorado Springs, CO 80921-3722 | 2020-05-11 |
| 1891316089 | Chase Devalk | Physician Assistant | 560 Thames Dr, Colorado Springs, CO 80906-4839 | 2020-04-29 |
| 1841846193 | Caroline Selting | Physician Assistant | 2255 Oak Hills Dr, Colorado Springs, CO 80919-3477 | 2019-08-13 |
| 1578121935 | Raymond Shaun Wolff | Physician Assistant | 6936 Shea Dr Apt A, Colorado Springs, CO 80902-7334 | 2019-05-31 |
| 1063996288 | Matthew Steven Chernikovich | Physician Assistant | 5134 N Nevada Ave Ste 100, Colorado Springs, CO 80918-8699 | 2018-09-24 |
| 1649798018 | Adam Robert Sahlberg | Physician Assistant | 10222 Desert Bloom Way, Colorado Springs, CO 80925-1345 | 2017-09-06 |
| 1851821334 | Jennifer Abbott | Physician Assistant | 6071 E Woodmen Rd Ste Unit300, Colorado Springs, CO 80923-2607 | 2017-06-15 |
| 1912431081 | Brandon Eliott Griffis | Physician Assistant | 3803 N Chestnut St, Colorado Springs, CO 80907-4107 | 2017-04-16 |
| 1508309709 | Aleksandr M Kaplun | Physician Assistant | 155 Printers Pkwy Ste 23, Colorado Springs, CO 80910-6100 | 2016-11-21 |
| 1972059038 | Shelby Lynne Ransdell | Physician Assistant | 116 Sherri Dr, Colorado Springs, CO 80911-1447 | 2016-08-29 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80910 |
Please comment or provide details below to improve the information on MR. JEFFERY A 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.