Individual provider Active NPI

Hallie Waters, FNP

  • Family Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1669250452
Registry record updated Feb 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187869 Issued in VA
Practice address
3000 Watercove Rd
Midlothian, VA 23112-3982
Phone
(804) 744-0200
NPI assigned
Sep 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024187869 VA Primary

Addresses

Primary practice location

3000 Watercove Rd
Midlothian, VA 23112-3982

Mailing address

3000 Watercove Rd
Midlothian, VA 23112-3982
Phone (804) 744-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20231120003658 VA Practitioner - Nurse Practitioner 7315395928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Physicians IncGroup PAC ID 5597650804, 93 clinicians

Practice addresses (Care Compare)

13332 Midlothian Tpke
Midlothian, VA 23113-4210
Phone (804) 794-5598

15769 WC Main St
Midlothian, VA 23113-7327
Phone (804) 419-9760

3000 Watercove Rd
Midlothian Family Practice
Midlothian, VA 23112-3982
Phone (804) 744-0200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Physicians, Inc CurrentSince Nov 1, 2023 Accepting new patients
NPI 1477614964 CurrentSince Nov 1, 2023 Accepting new patients
Virginia Physicians, Inc Current Accepting new patients
Virginia Physicians, Inc. Past Accepting new patients

Locations

15769 Wc Main St
Midlothian, VA 23113
Phone (804) 419-9760

13332 Midlothian Tpke
Midlothian, VA 23113
Phone (804) 794-5598

3000 Watercove Rd
Midlothian, VA 23112
Phone (804) 744-0200

3510 Anderson Hwy
Ste A
Powhatan, VA 23139
Phone (804) 598-3100

Organizations & group practices 4

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": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708214400000",
    "number": "1669250452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WATERCOVE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123982",
            "telephone_number": "804-744-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WATERCOVE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123982",
            "telephone_number": "804-744-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "HALLIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2024-02-18",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.