Coretta B Waters, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9491709 Issued in FL

Practice address

1600 S Dixie Hwy Ste 106
Boca Raton, FL 33432-7463

Phone

(561) 372-9108

NPI assigned

Dec 2, 2021

Last updated

Aug 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Immaculate Home Health Care LLC

  • Home Health Agency
  • Boca Raton, FL
  • NPI 1346856416
  NPD Authorized official

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1447918842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5398 NW 126TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763406",
            "telephone_number": "954-531-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S DIXIE HWY STE 106",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327463",
            "telephone_number": "561-372-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "CORETTA",
        "middle_name": "B",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9491709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Washko, D.C.
• Wasserman and Drucker PA
• Alan Wasserman
• Linda Sharon Wasserman, LCSW
• Lori Wasserman, PH.D.
• Natasha Watkinson, LMHC
• Althea Watson, M.D.
• Joely Watson
• Leslie Aston Wattkis
• Adrielyn Marie Watts, RDMS

• Registered Nurse in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.