Waterlyn Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WATERLYN MEDICAL SUPPLY

Practice address

12823 Waterlyn Club Dr
Charlotte, NC 28278-7680

Phone

(704) 910-2146

NPI assigned

May 5, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Jean Marie Maurer

Title

Office Manager

Phone

(704) 910-2146

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1710111752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12823 WATERLYN CLUB DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787680",
            "telephone_number": "704-910-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12823 WATERLYN CLUB DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787680",
            "telephone_number": "704-910-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERLYN MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-910-2146",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francine Waskavitz, M.S.
• John Joseph Wassel, M.D.
• Ja'Monica Wasson
• Diane G Wassum, PT
• Marianne L. Waterhouse, CRNA
• Brittany Madison Waters
• Laura Denise Waters
• Nicole McIntyre Waters, IBCLC
• Peter Michael Waters, MD
• Allison Brooke Watkins

• Durable Medical Equipment & Medical Supplies in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.