Eldon Waters, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9385205 Issued in FL

Practice address

805 E CR 466
Lady Lake, FL 32159

Phone

(352) 674-9218

Fax

(352) 259-6069

NPI assigned

Apr 2, 2018

Last updated

Apr 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Adventist Health System Sunbelt, Inc.

  dba AdventHealth Centra Care

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1073565610

  Family

  Medicare reassignment NPD
• Dispatchhealth-Florida Inc.

  • Emergency Medicine Physician
  • Tampa, FL
  • NPI 1407472723
  Medicare reassignment NPD
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• FL-I Medical Services, LLC

  • Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1750655106
  Medicare reassignment NPD
• Sheridan Emergency Physician Services Inc

  • Emergency Medicine Physician
  • Jupiter, FL
  • NPI 1598748030
  Medicare reassignment NPD
• Urgent Care Centers of Brevard County LLC

  dba Health First AdventHealth Centra Care

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1295367290

  Family

  Medicare reassignment NPD
• Elite Medical Ocala

  • Health & Wellness Coach
  • Ocala, FL
  • NPI 1487596771
  NPD Authorized official
• Adventist Health System/ Sunbelt, Inc.

  dba AdventHealth Centra Care - Southern Trace

  • Urgent Care Clinic/Center
  • The Villages, FL
  • NPI 1396605440

  Family

  NPD
• Adventist Health System/Sunbelt Inc.

  dba AdventHealth Centra Care - Lake Nona

  • Urgent Care Clinic/Center
  • Orlando, FL
  • NPI 1316445471

  Family

  NPD
• FL-I Medical Services LLC

  • Physician Assistant
  • Haines City, FL
  • NPI 1285356790
  NPD
• FL-I Medical Services LLC

  • Emergency Medicine Physician
  • Sebring, FL
  • NPI 1295242485
  NPD
• Orlando Carenow Urgent Care LLC

  • Urgent Care Clinic/Center
  • Winter Springs, FL
  • NPI 1205389905
  NPD

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1538665336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 COUNTY ROAD 466",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321594205",
            "telephone_number": "352-633-7852",
            "fax_number": "352-561-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E CR 466",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-674-9218",
            "fax_number": "352-259-6069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2809 SE 30th St",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344710825",
            "country_code": "US",
            "telephone_number": "352-351-0887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "ELDON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9385205",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "RN9385205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ely Wadsworth, D.M.D.
• Wal-Mart Stores East, LP
• Walgreen Co (Walgreens #10373)
• Walgreen Co (Walgreens #06723)
• Donna Elaine Walker, ARNP-C
• We Fit Kids, PLLC
• Welcare of Florida LLC (Welcare of Florida)
• Wellcare Pharmacy Services Inc (Wellcare Pharmacy)
• Wellness by Physicians, Inc. (Physicians Rehabilitation)
• West Coast Dental Partners

• Family Nurse Practitioner in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.