Jacqueline Waterman

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

11042190 Issued in FL

Practice address

6600 Charing St
Jacksonville, FL 32216-6110

Phone

(904) 674-0022

NPI assigned

Sep 15, 2025

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 names 1

• Jackie Waterman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jacqueline.waterman.1@2183.direct.athenahealth.com

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1336010347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 E COAST DR",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322335426",
            "telephone_number": "904-910-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 CHARING ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166110",
            "telephone_number": "904-674-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "11042190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "WATERMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Wasoff, AUD
• Martha C Wasserman, MD
• Rachel Suzanne Wasson, PHD
• Neda Ruth Watanabe, PA-C
• Carol Waterman
• Makayla Waterman
• Tanner Cole Waterman, PA-C
• Alaina Grace Waters, RD, LD
• Annest Temirra Waters, ESTHETICIAN
• Baylee Waters

• Advanced Practice Midwife in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Advanced Practice Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.