Individual provider Active NPI

Chastity Lynn Waters, RN

  • Registered Nurse
  • Chillicothe, OH
National Provider Identifier
1861769440
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.394417 Issued in OH
Practice address
111 Falcon Dr
Chillicothe, OH 45601-1000
Phone
(740) 703-5589
NPI assigned
Nov 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN.147267-M-IV OH
Registered Nurse 163W00000X RN.394417 OH Primary

Addresses

Primary practice location

111 Falcon Dr
Chillicothe, OH 45601-1000

Mailing address

4431 Maple Grove Rd
Chillicothe, OH 45601-8890
Phone (740) 703-5589

Other practice location 1

4431 Maple Grove Rd
Chillicothe, OH 45601-8890
Phone (740) 703-5589

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.394417OHMDRegistered Nurse
PN.147267-M-IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1322265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1861769440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 MAPLE GROVE RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018890",
            "telephone_number": "740-703-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FALCON DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011000",
            "telephone_number": "740-703-5589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4431 Maple Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456018890",
            "country_code": "US",
            "telephone_number": "740-703-5589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "CHASTITY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-26",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.147267-M-IV",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.394417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.