Cathleen M. Waters

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN167697 Issued in GA

Practice address

604 Riverside Ave
Waycross, GA 31501-5323

Phone

(912) 287-4863

Fax

(912) 287-5875

NPI assigned

Oct 18, 2011

Sex

Female

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1932484201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CHURCH ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013525",
            "telephone_number": "912-287-4863",
            "fax_number": "912-287-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 RIVERSIDE AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015323",
            "telephone_number": "912-287-4863",
            "fax_number": "912-287-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "CATHLEEN",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN167697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ware Express Care, LLC
• Ware Urgent Care, LLC
• Ware Visiting Nurses Service, Inc
• Ware Weight Loss Center, LLC
• Deionna Berry Washington, LDO
• Melissa Waters, FNP-C
• Richard Watson, PHARMD
• Stephanie Hickman Watson, PHARMD
• Waycross Dialysis Facility, Inc
• Waycross Dialysis LLC

• Women's Health Nurse Practitioner in Waycross, GA
• Providers in Waycross, GA by specialty
• Women's Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.