Active NPI
Janet Heger Waters, RD LD IBCLC
- Lactation Consultant (Non-RN)
- Powder Springs, GA
National Provider Identifier
1801146675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- 11287110
- Practice address
- 1130 Bowerie Chase
Powder Springs, GA 30127-4968 - Phone
- (770) 421-2983
- Fax
- (770) 421-2983
- NPI assigned
- Sep 19, 2012
- Last updated
- Jun 19, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD002220 | GA | |
| Lactation Consultant (Non-RN) | 174N00000X | 11287110 | NU | Primary |
Addresses
Primary practice location
1130 Bowerie Chase
Powder Springs, GA 30127-4968
Mailing address
1130 Bowerie Chase
Powder Springs, GA 30127-4968
Phone (770) 421-2983
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD002220 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403136000000",
"number": "1801146675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 BOWERIE CHASE",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301274968",
"telephone_number": "770-421-2983",
"fax_number": "770-421-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 BOWERIE CHASE",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301274968",
"telephone_number": "770-421-2983",
"fax_number": "770-421-2983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "JANET",
"middle_name": "HEGER",
"credential": "RD LD IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2014-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD002220",
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NU",
"license": "11287110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Powder Springs, GA
- Walgreen Co (Walgreens #06325)
- Walgreen Co (Walgreens #17585)
- Walgreen Co (Walgreens #05897)
- James Wallace
- Walton Nursing Hospice Services Inc
- Abby Katherine Watson
- Rhonda Yvette Watson, LCSW
- Yokeca Nicole Watts, D.M.D.
- Wellstar Medical Group, LLC (WellStar Powder Springs Medical Center)
- Wellstar Powder Springs Medical Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.