Active NPI
Chastity Lynn Waters, RN
- Registered Nurse
- Chillicothe, OH
National Provider Identifier
1861769440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.394417
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN.394417 | OH | MD | Registered Nurse |
| PN.147267-M-IV | OH | MD | Licensed 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.