Lesa Ferrell Waters, FNP

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

R781266 Issued in MS

Practice address

109 North Front St.
Sandersville, MS 39477-0001

Phone

(601) 426-7603

Fax

(601) 426-1087

NPI assigned

May 31, 2006

Last updated

Oct 12, 2012By 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 1

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.

• Newton Hospital, Inc

  • General Acute Care Hospital
  • Newton, MS
  • NPI 1063667939
  NPD (past)
• Newton Hospital, Inc.

  dba Newton Regional Hospital

  • Emergency Care Clinic/Center
  • Newton, MS
  • NPI 1528061272
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1316984230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1649",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394411649",
            "telephone_number": "601-399-6158",
            "fax_number": "601-399-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 NORTH FRONT ST.",
            "city": "SANDERSVILLE",
            "state": "MS",
            "postal_code": "394770001",
            "telephone_number": "601-426-7603",
            "fax_number": "601-426-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "LESA",
        "middle_name": "FERRELL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MS",
            "license": "R781266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING  LICENSE",
            "identifier": "R781266",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Douglas Collins, NP
• Kayla Marie Cooley, FNP-C
• Family Health Center, Inc (Sandersville Clinic)
• Prosperity of Care LLC
• South Central Clinics, Inc (Sandersville Medical Clinic)

• General Practice Registered Nurse in Sandersville, MS
• Providers in Sandersville, MS by specialty
• General Practice Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.