Kristine Waters, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0779

Practice address

1236 Paris Pike
Georgetown, KY 40324-9701

Phone

(502) 320-7175

NPI assigned

Sep 13, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1124378575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 JOSEPHINE RD",
            "city": "STAMPING GROUND",
            "state": "KY",
            "postal_code": "403799687",
            "telephone_number": "502-320-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 PARIS PIKE",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249701",
            "telephone_number": "502-320-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "KRISTINE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "0779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmer James Ward
• Cindy Gail Warren, M.A. CCC-SLP
• Fatima N Warren, CCC-SLP
• Matthew Warren, PHARMD
• Robert Thomas Warring, D.M.D.
• Erica Webb, PMHNP
• Raymond Wechman Jr., MD
• Wedco District Health Department
• Kellye Ann Wedding, CCC
• Mallorie Weis, APRN

• Marriage & Family Therapist in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.