Active NPI
Christiane Waters, NP
- Nurse Practitioner
- Madison, WI
National Provider Identifier
1326457367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5893-33
- Practice address
- 2917 International LN
Madison, WI 53704-3135 - Phone
- (608) 245-3117
- Fax
- (608) 245-3890
- NPI assigned
- Aug 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5893-33 | WI | Primary |
Addresses
Primary practice location
2917 International LN
Madison, WI 53704-3135
Mailing address
2917 International LN
PO Box 14017
Madison, WI 53704-3135
Phone (608) 245-3117
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5893-33 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1326457367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2917 INTERNATIONAL LN",
"address_2": "PO BOX 14017",
"city": "MADISON",
"state": "WI",
"postal_code": "537043135",
"telephone_number": "608-245-3117",
"fax_number": "608-245-3890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2917 INTERNATIONAL LN",
"city": "MADISON",
"state": "WI",
"postal_code": "537043135",
"telephone_number": "608-245-3117",
"fax_number": "608-245-3890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "CHRISTIANE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-04",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "5893-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.