Margaret M. Waters, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

VP003379B Issued in PA

Practice address

63 S Main St
Mansfield, PA 16933-1501

Phone

(570) 662-7766

Fax

(570) 662-0348

NPI assigned

Feb 27, 2006

Last updated

Sep 16, 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 identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Guthrie Medical Group PC

  • Clinical Medical Laboratory
  • Sayre, PA
  • NPI 1649225855
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1275509630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 S MAIN ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331501",
            "telephone_number": "570-662-7766",
            "fax_number": "570-662-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "MARGARET",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "VP003379B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02657165",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CC9269",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00319068",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA MEDCIARE GROUP",
            "identifier": "GU040009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tioga County Homeless Initiative
• Tioga Health Care Providers, Inc (Susquehanna Health Medical Plaza at Mansfield)
• Tioga Health Care Providers, Inc (Susquehanna Health Medical Plaza at Mansfield)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1945)
• Wal-Mart Stores East, LP (Vision Center 30-1945)
• Wellspring Community Support Services, Inc.
• Jacob Wheaton, PHARMD
• Emily Wheeler, PHD, CAADC
• Jacqueline Nicole Wiand, PA-C
• Sara Wolbert, DPT

• Nurse Practitioner in Mansfield, PA
• Providers in Mansfield, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.