Tamara Lynette Waters

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

71362 Issued in SC

Practice address

10050 Two Notch Rd Ste 7
Columbia, SC 29223-4302

Phone

(803) 851-3353

NPI assigned

Dec 13, 2019

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

Electronic endpoints 1

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 and National Provider Directory roles.

• H2O Hair Rehab and Beauty Lab LLC

  • Customized Equipment (DME)
  • Columbia, SC
  • NPI 1568214450
  NPD Authorized official

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1942848643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 MARSH POINTE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297025",
            "telephone_number": "803-319-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 TWO NOTCH RD STE 7",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234302",
            "telephone_number": "803-851-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "TAMARA",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "SC",
            "license": "71362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Blackberry",
            "affiliation": "N",
            "endpointDescription": "For safety of client information",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Client Database",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10050 Two Notch Rd Ste 7",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292234302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taylor A Washington
• Richard J. Wassermann, M.D.
• Christine Ellis Waters, OT
• Katherine Guest Waters, DPT
• Kyle D. Waters, PA-C
• Carroll B Watford, MD
• Allison Watkins, NP-C
• Amy Marion Watkins, LPC, CACII, LPCS
• Carolyn Barnette Watkins, M.A.,R.D.,R.N.,C.D.E
• Cecily Watkins

• Prosthetics Case Management in Columbia, SC
• Providers in Columbia, SC by specialty
• Prosthetics Case Management in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.