Alicia Danielle Waits, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R855057 Issued in MS

Practice address

1020 River Oaks Dr
Suite 420
Jackson, MS 39232-9500

Phone

(601) 939-4198

Fax

(601) 939-4120

NPI assigned

Jul 15, 2009

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

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alicia.waits@746395612545028.direct.elationemr.com

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.

• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  MS

  Medicare reassignment NPD

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1801026604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 RIVER OAKS DR",
            "address_2": "SUITE 420",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329500",
            "telephone_number": "601-939-4198",
            "fax_number": "601-939-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 RIVER OAKS DR",
            "address_2": "SUITE 420",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329500",
            "telephone_number": "601-939-4198",
            "fax_number": "601-939-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITS",
        "first_name": "ALICIA",
        "middle_name": "DANIELLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "R855057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Wagner, PHARMD
• Nathan Andrew Wagner Sr., NP
• Nancy Grant Wahl, M.D.
• Martha Elizabeth Wainwright, CCC-SLP
• Noreen Rose Waithaka, CMHT, LPC
• Irza Wajid
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Dexter W Walcott, M.D.
• Blake Waldrip

• Adult Health Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Adult Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.