Heidi Waters

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R030141 Issued in SD

Practice address

804 Lewis St
Vermillion, SD 57069-3302

Phone

(605) 670-1496

NPI assigned

Sep 9, 2021

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

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1316616634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 LEWIS ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693302",
            "telephone_number": "605-670-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 LEWIS ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693302",
            "telephone_number": "605-670-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "HEIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SD",
            "license": "R030141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Vinzant
• Wal-Mart Stores, Inc.
• Victoria L Walker, M.D.
• Walmart Inc.
• Allison Walsh, LPC
• Nancy Jo Weber, PT
• William Saunders D C P C
• Mandy J Williams, PH.D., CCC-SLP
• Tonja Leana Winekauf, ARNP
• Wollmans of Vermillion

• Registered Nurse in Vermillion, SD
• Providers in Vermillion, SD by specialty
• Registered Nurse in South Dakota

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