Michell Nicole Waterman, M.ED.

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

95 Frank B Murray St
Springfield, MA 01103-1106

Phone

(413) 285-8586

NPI assigned

Oct 24, 2018

Last updated

Oct 24, 2018By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Interoperability endpoints

• Direct secure messaging: michell.waterman.p1@direct.wheelerclinic.nextgenshare.com

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1619444007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 LOVE LN FL 3",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121615",
            "telephone_number": "860-778-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 FRANK B MURRAY ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031106",
            "telephone_number": "413-285-8586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Silas Deane Hwy",
            "address_purpose": "LOCATION",
            "city": "Wethersfield",
            "state": "CT",
            "postal_code": "061092216",
            "country_code": "US",
            "telephone_number": "860-721-2977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "MICHELL",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF MOTOR VEHICLES",
            "identifier": "086758642",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison M. Wasserman, M.D.
• Brian Scott Wasserman, M.D.
• Caitlyn R Wasserman, MD
• Katherine Waterman, N.P-C
• Logan Delaney Waterman
• Mashia Waters, LPN
• Sarah Michelle Waters
• Daniel Joseph Watkins, M.S., P.A.-C
• Irina Kaarina Watkins
• Jennifer M Watkins, LICSW

• Counselor in Springfield, MA
• Providers in Springfield, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.