Johnathan Seamus Waters, RT (R) CT

Primary specialty

Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X

License

RHF64081 Issued in CA

Practice address

2223 Daniel Road
Pueblo, CO 81006

Phone

(360) 850-2739

NPI assigned

Dec 7, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1043588833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 432",
            "city": "SELIGMAN",
            "state": "AZ",
            "postal_code": "86337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 DANIEL ROAD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81006",
            "telephone_number": "360-850-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "JOHNATHAN",
        "middle_name": "SEAMUS",
        "name_prefix": "Mr.",
        "credential": "RT (R) CT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "CA",
            "license": "RHF64081",
            "primary": true
        },
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "AZ",
            "license": "CRT-12657",
            "primary": false
        },
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "WA",
            "license": "RT60090679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Warner
• Tricia Kate Warner, LCSW, CSW-PIP
• Wendy Warren
• Misty Watada, RN
• Watercolor Recovery, LLC
• Karen Waters
• Devon Watkins
• Jo Anna Watkins, PA-C
• Taylor Anne Watley, MT
• Alexandra Alston Watson, AG-ACNP

• Radiologic Technologist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Radiologic Technologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.