LVN Waters Health and Wellness

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LVN WATERS HEALTH AND WELLNESS

Practice address

612 Orchard Harvest Dr
Chester, VA 23836-7916

Phone

(804) 446-4821

NPI assigned

Aug 28, 2026

Organization subpart

No

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

Authorized official

Name

Abisola Canady, PMHNP-BC

Title

Owner

Phone

(917) 558-7986

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1316855711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 ORCHARD HARVEST DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238367916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 ORCHARD HARVEST DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238367916",
            "telephone_number": "804-446-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LVN WATERS HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "CANADY",
        "authorized_official_first_name": "ABISOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-558-7986",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.