Kimberely Ann Waters

Primary specialty

Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X

License

1068587 Issued in AZ

Practice address

7074 E Fifth Ave
Scottsdale, AZ 85251-3216

Phone

(480) 429-3778

Fax

(480) 429-3778

NPI assigned

Dec 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kymco LLC

  dba Arizona Wig Boutique

  • Prosthetic/Orthotic Supplier
  • Scottsdale, AZ
  • NPI 1013453117
  NPD (past)

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1871037036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7074 E FIFTH AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513216",
            "telephone_number": "480-429-3778",
            "fax_number": "480-429-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7074 E FIFTH AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513216",
            "telephone_number": "480-429-3778",
            "fax_number": "480-429-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "KIMBERELY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "AZ",
            "license": "1068587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Houston Wasson, DDS
• Jacqueline Watchmaker, M.D.
• Watermark Home Care of Arizona, LLC (Watermark at Home)
• Justin James Waters, DMD
• Kathy Lynn Waters, RDH
• Lisa Waters
• Watershed Financial, LLC (Watershed Hospice Home Care)
• Angela Watkins
• Lindsey Marie Watkins, MA-CCC SLP
• Jennifer Rose Watry, PA-C

• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.