Individual provider Active NPI

Laura K Waters, NP

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1063752673
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0990647 Issued in CO
Practice address
4500 E 9TH Ave
Suite 470
Denver, CO 80220-3912
Phone
(303) 320-8499
Fax
(303) 320-8620
NPI assigned
Feb 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0990647 CO Primary

Addresses

Primary practice location

4500 E 9TH Ave
Suite 470
Denver, CO 80220-3912

Mailing address

4900 S Monaco St
Suite 210
Denver, CO 80237-3486
Phone (303) 320-8499

Other identifiers 1

IdentifierTypeStateIssuer
60332344MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LAURA.WATERS@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20130514000728 CO Practitioner - Nurse Practitioner 0042457889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services - Obstetrics and Gynecology LLCGroup PAC ID 4587759972, 62 clinicians

Practice addresses (Care Compare)

4650 W 38TH Ave
Suite 215
Denver, CO 80212-2161
Phone (303) 320-2711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0990647COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Obstetrics and Gynecology LLC CurrentSince Mar 4, 2013 Accepting new patients
Healthone Clinic Services LLC Past Accepting new patients

Locations

4500 E 9th Ave
Ste 470
Denver, CO 80220
Phone (303) 320-8499

1400 S Potomac St
Ste 225
Denver, CO 80012
Phone (303) 563-2782

4650 W 38th Ave
Ste 215
Denver, CO 80212
Phone (303) 320-2711

4900 S Monaco St
Ste 210
Denver, CO 80237

4600 E 9th Ave
Ste 250
Denver, CO 80220
Phone (303) 320-8490

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: laura.waters@hca3.eclinicaldirectplus.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1063752673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-320-8499",
            "fax_number": "303-320-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE",
            "address_2": "SUITE 470",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203912",
            "telephone_number": "303-320-8499",
            "fax_number": "303-320-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "LAURA",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0990647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60332344",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LAURA.WATERS@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4500 E 9th Ave",
            "address_2": "SUITE 470",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802203912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.