Jasmine Faith Waters, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R101487 Issued in AR

Practice address

217 W 2ND St Ste 205
Little Rock, AR 72201-2521

Phone

(501) 407-6377

NPI assigned

Mar 9, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1124603352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13916 CARRINGTON CV",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720027308",
            "telephone_number": "501-407-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W 2ND ST STE 205",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722012521",
            "telephone_number": "501-407-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "JASMINE",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R101487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamera Washington
• Tatiyan Washington
• Terry Washington
• Tracey A Washington, BA, MHPP
• Adrian L Waters Sr., MHPP
• Marcus Waters, MHPP
• Ryan Samuel Waters, MD
• Amber Marisa Watford, ATC, LAT
• Adam S Watkins, MD
• Watkins, Bauer & Meadors, P.a.

• Registered Nurse in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.