Active NPI
Emylee Aleah Waterman
- Licensed Practical Nurse
- York, PA
National Provider Identifier
1073075651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN292981
- Practice address
- 2251 Eastern Blvd
York, PA 17402-2917 - Phone
- (717) 840-2730
- Fax
- (717) 840-2741
- NPI assigned
- Apr 3, 2019
- Last updated
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN292981 | PA | Primary |
Addresses
Primary practice location
2251 Eastern Blvd
York, PA 17402-2917
Mailing address
2251 Eastern Blvd
York, PA 17402-2917
Phone (717) 840-2730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29042584 | Other | PA | PA DRIVERS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN292981 | PA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1073075651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 EASTERN BLVD",
"city": "YORK",
"state": "PA",
"postal_code": "174022917",
"telephone_number": "717-840-2730",
"fax_number": "717-840-2741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2251 EASTERN BLVD",
"city": "YORK",
"state": "PA",
"postal_code": "174022917",
"telephone_number": "717-840-2730",
"fax_number": "717-840-2741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERMAN",
"first_name": "EMYLEE",
"middle_name": "ALEAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "PA",
"license": "PN292981",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA DRIVERS LICENSE",
"identifier": "29042584",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.