Patricia Anne Waters-Decker, APRN, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

APN 00446 Issued in NV

Practice address

10105 Banburry Cross
Ste. 460
Las Vegas, NV 89144

Phone

(702) 255-3547

Fax

(702) 255-3549

NPI assigned

Mar 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Patricia Anne Waters Former name

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

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.

• Healthcare Partners Medical Group Coats LTD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1487631917
  NPD

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1740249804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9260 W. SUNSET RD.",
            "address_2": "STE. 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484903",
            "telephone_number": "702-255-3547",
            "fax_number": "702-921-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 BANBURRY CROSS",
            "address_2": "STE. 460",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89144",
            "telephone_number": "702-255-3547",
            "fax_number": "702-255-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS-DECKER",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-18",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NV",
            "license": "APN 00446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002402048",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "WATERS",
            "middle_name": "ANNE",
            "credential": "APRN, CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wilson T Watanabe, MD
• Jon Richard Watase
• Waterfall Behavioral Health Services
• Waterfield
• Melissa Waterman, BCBA
• Aniyah Waters
• Chris Credell Waters
• Dorothy Lee Waters
• Jordyn Waters
• Melanie Waters

• Advanced Practice Midwife in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Advanced Practice Midwife in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.