Active NPI
Monique Marie Waters, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Renton, WA
National Provider Identifier
1790223550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 61030812
- Practice address
- 600 Oakesdale Ave SW Ste 104
Renton, WA 98057-5226 - Phone
- (866) 951-0183
- Fax
- (425) 228-4540
- NPI assigned
- Feb 1, 2017
- Last updated
- Jan 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9317901 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 61030812 | WA | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | ARNP 9317901 | FL |
Addresses
Primary practice location
600 Oakesdale Ave SW Ste 104
Renton, WA 98057-5226
Mailing address
600 Oakesdale Ave SW Ste 104
Renton, WA 98057-5226
Phone (866) 951-0183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9317901 | FL | MD | Nurse Practitioner |
| 61030812 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
| ARNP 9317901 | FL | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1790223550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKESDALE AVE SW STE 104",
"city": "RENTON",
"state": "WA",
"postal_code": "980575226",
"telephone_number": "866-951-0183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 OAKESDALE AVE SW STE 104",
"city": "RENTON",
"state": "WA",
"postal_code": "980575226",
"telephone_number": "866-951-0183",
"fax_number": "425-228-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "MONIQUE",
"middle_name": "MARIE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-01",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9317901",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "61030812",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "ARNP 9317901",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
- Washington CVS Pharmacy, L.L.C. (CVS Pharmacy # 10285)
- Washington Dental Corporation PC
- Washington Dental Corporation, PC (Renton Modern Dentistry)
- Jeffrey Frank Wasmer, MA 60214980
- Diena L Wasson
- Susan Watkins, COTA, AAC
- Vernell Ellis Watkins
- Natalie Laura Watrous, OT
- Melissa Mae Waud, PT, DPT
- Michael D. Waxman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.