Willie Waters

Primary specialty

Chore ProviderTaxonomy code 372500000X

Practice address

9500 Chalmers St Apt 1
Detroit, MI 48213-4417

Phone

(313) 671-9124

NPI assigned

Apr 22, 2024

Sex

Male

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)

Not enrolled

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1588419592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19919 MCCORMICK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241147",
            "telephone_number": "313-433-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 CHALMERS ST APT 1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482134417",
            "telephone_number": "313-671-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "WILLIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Carol Water-Couch, BA,SST
• Crystal Waters, LLMSW
• Diarra M Waters
• Katrina Waters
• Lisa Waters, LMSW-C
• Angela Marie Wathel, L..P.C.
• Anthony W Watkins, LLPC
• Ashley Watkins
• Brenea L Watkins
• George Howard Watkins III

• Chore Provider in Detroit, MI
• Providers in Detroit, MI by specialty
• Chore Provider in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.