Individual provider Active NPI

Niquia Lyndsay McWaters, NP

  • Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1336459361
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9208626 Issued in FL
Practice address
140 Fitzgerald Rd Ste 3
Lakeland, FL 33813-2624
Phone
(863) 220-7229
NPI assigned
Oct 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9208626 FL Primary

Addresses

Primary practice location

140 Fitzgerald Rd Ste 3
Lakeland, FL 33813-2624

Mailing address

140 Fitzgerald Rd Ste 3
Lakeland, FL 33813-2624
Phone (863) 220-7229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9208626FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Wales Emergency Physicians, LLC Nurse Practitioner Past Accepting new patients
Advance Technological Radiology, PA Past Accepting new patients
Emergency Physician Specialists Inc PastSince Feb 1, 2013 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1336459361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FITZGERALD RD STE 3",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132624",
            "telephone_number": "863-220-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 FITZGERALD RD STE 3",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132624",
            "telephone_number": "863-220-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWATERS",
        "first_name": "NIQUIA",
        "middle_name": "LYNDSAY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9208626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.