Shannon Faye Waters

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

101 T St NE
Washington, DC 20002-1519

Phone

(202) 724-4223

NPI assigned

Aug 20, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1023598927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RHODE ISLAND AVE NE APT 126A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200026806",
            "telephone_number": "830-387-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 T ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021519",
            "telephone_number": "202-724-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "SHANNON",
        "middle_name": "FAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda Waters
• Jessica Lynn Waters, MD
• Lamar Waters
• Raymond E Waters III, M.D.
• Satchal Waters
• Syanni Symone Waters
• Thomas Eric Waters, ATC, CES, PES
• Jessica Alexandria Watford, BSN, RN
• Theresa R Watkins-Bryant, MD
• Ayana D.J. Watkins-Northern, PH.D.

• School Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• School Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.