Individual provider Active NPI

Lianne Marie Waters, RN, BSN, CCM

  • Case Management Registered Nurse
  • Mead, WA
National Provider Identifier
1295459253
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN00116153 Issued in WA
Practice address
8808 E Mt Spokane Park Dr
Mead, WA 99021-9459
Phone
(509) 701-8283
Fax
(877) 835-2648
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN00116153 WA Primary

Addresses

Primary practice location

8808 E Mt Spokane Park Dr
Mead, WA 99021-9459

Mailing address

8808 E Mt Spokane Park Dr
Mead, WA 99021-9459
Phone (509) 701-8283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00116153WAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1295459253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 E MT SPOKANE PARK DR",
            "city": "MEAD",
            "state": "WA",
            "postal_code": "990219459",
            "telephone_number": "509-701-8283",
            "fax_number": "877-835-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8808 E MT SPOKANE PARK DR",
            "city": "MEAD",
            "state": "WA",
            "postal_code": "990219459",
            "telephone_number": "509-701-8283",
            "fax_number": "877-835-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "LIANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "RN00116153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mead, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.