Brenda Kay Waters, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

65391 Issued in NE

Practice address

1584 N 208TH St
Elkhorn, NE 68022-6955

Phone

(402) 321-4245

NPI assigned

Jan 18, 2011

Last updated

Jan 18, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brenda Kay Graff Former name

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": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1255636593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1584 N 208TH ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680226955",
            "telephone_number": "402-321-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1584 N 208TH ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680226955",
            "telephone_number": "402-321-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "BRENDA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "65391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "GRAFF",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Nurse in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.