Martha Waterfield

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

7525 Mitchell Rd Ste 100
Eden Prairie, MN 55344-1900

Phone

(612) 924-1476

Fax

(952) 224-2284

NPI assigned

Mar 1, 2024

Last updated

Mar 1, 2024By the provider in NPPES

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

Practice roles

Locations

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.

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  dba LifeStance Health

  • Counseling Psychologist
  • Anoka, MN
  • NPI 1992862783
  NPD

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1043077639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 ARTHUR ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183910",
            "telephone_number": "612-710-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD STE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441900",
            "telephone_number": "612-924-1476",
            "fax_number": "952-224-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERFIELD",
        "first_name": "MARTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wangerin Chiropractic & Alternative Medicine, P. a.
• Stephen Geoffrey Ward Jr., D.C.
• Kowsar Mohamed Warfa
• Laila Marie Warren
• Jennifer Jean Washburn, CNP
• James Paul Watson, DDS
• Sarah E Watua, CMT
• Traice Webb-Bradley, PHD
• Steven Webb, LMFT
• Herbert Neal Weisman, DDS

• Student in an Organized Health Care Education/Training Program in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Student in an Organized Health Care Education/Training Program in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.