COURTNEY WATERS (NPI# 1639571961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639571961 |
| Entity Type | Individual |
| Full Name | COURTNEY WATERS |
| Practice Address |
332 Newtown Rd Virginia Beach VA 23462-1793 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 7574738400 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110006537 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PAT9108237 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11513 N Main St, Jacksonville, FL 322184002 | 9047516200 | 9047511600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508435 | Courtney Waters | Student in an Organized Health Care Education/Training Program | 900 Downtowner Blvd Apt 269, Mobile, AL 36609-9410 | 2020-08-17 |
| 1912532961 | Courtney Lynn Waters | Physical Therapy Assistant | 1200 University St, Carlinville, IL 62626-9600 | 2020-03-10 |
| 1730384637 | Courtney A Waters | Internal Medicine | 1575 N 52nd St, Philadelphia, PA 19131-4736 | 2007-06-19 |
| Street Address |
332 NEWTOWN RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-1793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073592457 | Robert Scott Odewald | Physician Assistant | 332 Newtown Rd, Virginia Beach, VA 23462-1793 | 2006-01-12 |
| 1902398449 | Alexander Behnaz | Physical Medicine & Rehabilitation | 332 Newtown Rd, Virginia Beach, VA 23462-1793 | 2018-05-31 |
| 1114467446 | Hunter Thomas Holloway | Family Medicine | 332 Newtown Rd, Virginia Beach, VA 23462-1793 | 2017-03-06 |
| 1114335965 | Lindsey Nicole Heath | Physician Assistant | 332 Newtown Rd, Virginia Beach, VA 23462-1793 | 2014-07-24 |
| 1952713075 | Peter Alexander Beale | General Practice | 332 Newtown Rd, Virginia Beach, VA 23462 | 2014-05-22 |
| 1356761340 | Shaghayegh Mirshahi | Internal Medicine | 332 Newtown Rd, Virginia Beach, VA 23462-1793 | 2014-04-17 |
| 1356651889 | Yvonne Michelle Vanveldhuisen | Physician Assistant | 332 Newtown Rd, Virginia Beach, VA 23462-1793 | 2010-10-18 |
| 1982929832 | Olga A Elliott | Family Medicine | 332 Newtown Rd, Virginia Beach, VA 23462-1793 | 2010-04-05 |
| 1982836946 | Camille Habib | Physician Assistant | 332 Newtown Rd, Virginia Beach, VA 23462-1793 | 2009-08-10 |
| 1104042134 | Meredith Anne Kash | Physician Assistant | 332 Newtown Rd, Virginia Beach, VA 23462-1793 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| 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 |
|---|---|---|---|---|
| 1063047348 | Sara Minor Khadivi | Physician Assistant | 249 Cassady Ave, Virginia Beach, VA 23452-4248 | 2020-03-07 |
| 1659913283 | Jacqueline Alexander Oliver | Physician Assistant | 3198 Pacific Ave Ste 104, Virginia Beach, VA 23451-2949 | 2019-10-15 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1972067908 | Taylor Elizabeth Rose | Physician Assistant | 445 Caren Dr, Virginia Beach, VA 23452-3511 | 2019-01-23 |
| 1427521533 | Stephanie Michelle Smith | Physician Assistant | 2025 Williams Farm Rd, Virginia Beach, VA 23457-1390 | 2019-01-10 |
| 1902374044 | Patricia Lynette Nash | Physician Assistant | 5589 Greenwich Rd Ste 175, Virginia Beach, VA 23462-6564 | 2018-11-07 |
| 1851884332 | Aaron Zadai | Physician Assistant | 4437 Blackwater Rd, Virginia Beach, VA 23457-1124 | 2018-06-11 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1093196024 | Stephanie Zeiber | Physician Assistant | 3325 Woodsman Ln, Virginia Beach, VA 23452-5226 | 2015-06-16 |
| 1255733051 | Megan Christine Mcdevitt | Physician Assistant | 1168 First Colonial Rd Ste A, Virginia Beach, VA 23454 | 2014-09-23 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
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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.