KIMBERLY WATERS


Address: 3733 Holmes Park Rd, Lincoln, NE 68506-4645
Phone: 4024193553

KIMBERLY WATERS (NPI# 1528449741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528449741
Entity Type Individual
Full Name KIMBERLY WATERS
Credential APRN
Practice Address 3733 Holmes Park Rd
Lincoln
NE 68506-4645
Practice Telephone 4024193553
Mailing Telephone 4024193553
Enumeration Date 2015-06-12
Last Update Date 2015-06-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
111800 NE Physician Assistants & Advanced Practice Nursing Providers

Other Providers KIMBERLY WATERS

NPI Name Taxonomy Address Enumeration
1629255567 Kimberly Sue Waters Psychologist 33493 W 14 Mile Rd, Suite 130, Farmington Hills, MI 48331-1587 2008-01-23
1003134214 Kimberly Waters Physical Therapist 4390 Belle Oaks Dr, Suite 120, North Charleston, SC 29405-8559 2010-05-12
1073630976 Kimberly Knowlton Waters Chiropractor 51 Elm St, Milford, NH 03055-4810 2007-03-23

Office Location

Street Address 3733 HOLMES PARK RD
City LINCOLN
State NE
Zip Code 68506-4645

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1578010955 Jyllyan Christine Halldorson Nurse Practitioner 3814 S 186th Ave, Omaha, NE 68130-6029 2016-09-02
1053700245 Nadia Ann Mccann Nurse Practitioner 2820 E Us Highway 34, Grand Island, NE 68801-9734 2015-01-12
1841357076 Kelli A L King Nurse Practitioner 1021 S Cottonwood St, North Platte, NE 69101-6138 2007-01-03
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Competitor

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City LINCOLN
Zip Code 68506

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Dataset Information

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.

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