Selah Waters

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP136513 Issued in TX

Practice address

6751 Abrams Rd
Dallas, TX 75231-0210

Phone

(214) 331-0567

NPI assigned

Jan 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1225546138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 ABRAMS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310210",
            "telephone_number": "214-466-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6751 ABRAMS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310210",
            "telephone_number": "214-331-0567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 W Saner Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752331430",
            "country_code": "US",
            "telephone_number": "214-331-0567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 W Saner Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752331430",
            "country_code": "US",
            "telephone_number": "214-331-0567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "SELAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP00000",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP136513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadley Lewis Waters, PT
• Lindsay Leigh Waters, M.D.
• Melissa Ann Waters, M.D.
• Pamela Jill Waters, DC
• Polly Ann Waters, RNFA, FNP-C
• Thomas Patrick Waters III, D.C.
• Monica Fay Watford
• William Francis Wathen, DMD
• Watkins Medical Enterprise, PLLC.
• Carolyn Elizabeth Watkins, RN

• Pediatric Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.