Chioma Winifred Waters

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2357815 Issued in MA

Practice address

132 Chief Justice Cushing Hwy Ste 70
Cohasset, MA 02025

Phone

(781) 469-1013

Fax

(781) 469-1013

NPI assigned

May 8, 2023

Last updated

Nov 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clarity Peak Health LLC

  • Community/Behavioral Health Agency
  • Humble, TX
  • NPI 1619746278
  Authorized official Same address or phone

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1851081574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 CHIEF JUSTICE CUSHING HWY STE 70",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020251259",
            "telephone_number": "781-469-1013",
            "fax_number": "781-469-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 CHIEF JUSTICE CUSHING HWY STE 70",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "02025",
            "telephone_number": "781-469-1013",
            "fax_number": "781-469-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "CHIOMA",
        "middle_name": "WINIFRED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "RN2357815",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2357815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole Vincent, M.D.
• Walgreen Eastern Co Inc (Walgreens #04118)
• Walk-in MD Clinic
• Hannah Armstrong Wall, NP
• Davidson Ciacho Wang, PT
• Celia D Wendt, OTR
• Loretta H West, COF
• Alisa Vollmer Wincze, PH.D.
• David Leonard Woods Jr., MD

• Psychiatric/Mental Health Nurse Practitioner in Cohasset, MA
• Providers in Cohasset, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.