Rachel Waters, MSN, RN, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

404177 Issued in NY

Practice address

84 Broad St Ste 2
Glens Falls, NY 12801-4381

Phone

(518) 636-5284

NPI assigned

May 16, 2022

Last updated

Aug 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sohomd.rachelwaters@157389.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shannon James Nurse Practitioner in Psychiatry P.C

  dba The Eden Center for Integrative Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Glens Falls, NY
  • NPI 1417697376
  NPD
• The Eden Center for Integrative Care

  • Psychologist
  • Glens Falls, NY
  • NPI 1457027526
  NPD

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1033856695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 BROADWAY",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662212",
            "telephone_number": "915-204-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 BROAD ST STE 2",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014381",
            "telephone_number": "518-636-5284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 Broadway",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128662212",
            "country_code": "US",
            "telephone_number": "915-204-2579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee L Wartel, LCSW
• Enid Wasacz, PT
• Monae Washington
• Elissa Waskiewicz, FNP
• Michelle L Waters, RPH
• Daniel G Way, MD
• Amy Weakley, RRA
• Tracy M Webster, R.N.
• Mark H Weidner, MD
• Well Child Psychiatric NP PLLC

• Psychiatric/Mental Health Nurse Practitioner in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.