Individual provider Active NPI

Janet Heger Waters, RD LD IBCLC

  • Lactation Consultant (Non-RN)
  • Powder Springs, GA
National Provider Identifier
1801146675
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
11287110 Issued in NU
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LD002220GAMDRegistered 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

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.

Verify at the official NPI Registry.