Regina Waters

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

10060-PCS-0 Issued in NV

Practice address

5256 Fighting Fish Way
Las Vegas, NV 89118-0621

Phone

(702) 970-1449

Fax

(702) 368-0318

NPI assigned

Jul 14, 2020

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

Other identifiers 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.

• Generations Home Care LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1588272769
  NPD Authorized official

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1992313191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5256 FIGHTING FISH WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891180621",
            "telephone_number": "702-970-1449",
            "fax_number": "702-368-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5256 FIGHTING FISH WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891180621",
            "telephone_number": "702-970-1449",
            "fax_number": "702-368-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "REGINA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NV",
            "license": "10060-PCS-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC AND BEHAVORIAL HEALTH",
            "identifier": "10060-PCS-0",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aniyah Waters
• Chris Credell Waters
• Dorothy Lee Waters
• Jordyn Waters
• Melanie Waters
• Samantha Waters, MSW
• Kevin Watford
• Timothy Wathen, RN
• Freda Wati, RBT
• Cam Tu Tran Watkin, NP

• Personal Care Attendant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.