Active NPI
Waterfield Health, LLC
- Nurse Practitioner
- Kearney, NE
National Provider Identifier
1821853037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- WATERFIELD HEALTH, LLC
- Practice address
- 218 W 18TH St
Kearney, NE 68845-5944 - Phone
- (308) 251-1913
- Fax
- (949) 695-4142
- NPI assigned
- Feb 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Waterfield, NP
- Title
- Owner/Authorized Official
- Phone
- (308) 251-1913
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary | ||
| Acute Care Nurse Practitioner | 363LA2100X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Gerontology Nurse Practitioner | 363LG0600X |
Addresses
Primary practice location
218 W 18TH St
Kearney, NE 68845-5944
Mailing address
PO Box 1003
Kearney, NE 68848-1003
Phone (308) 251-1913
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
218 W 18th St
Kearney, NE 68845
Phone (308) 251-1913
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Kearney, NE
- NPI 1538882170
-
- Adult Health Nurse Practitioner
- Omaha, NE
- NPI 1063811511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708387200000",
"number": "1821853037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1003",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688481003",
"telephone_number": "308-251-1913",
"fax_number": "949-695-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 W 18TH ST",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688455944",
"telephone_number": "308-251-1913",
"fax_number": "949-695-4142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATERFIELD HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-16",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A",
"authorized_official_last_name": "WATERFIELD",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "308-251-1913",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.