MYRA WATERS (NPI# 1063610244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063610244 |
| Entity Type | Individual |
| Full Name | MYRA WATERS |
| Credential | CFO |
| Practice Address |
105 T R Harris Dr Shelby NC 28150-3486 |
| Practice Telephone | 7044875225 |
| Mailing Telephone | 7044875225 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CFO2726 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CERTIFIED ORTHOTIC FITTER | 7795216 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003296617 | Myra Waters | Psychologist | 9658 Baltimore Ave, #240, College Park, MD 20740-1346 | 2015-06-09 |
| Street Address |
105 T R HARRIS DR |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-3486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144222365 | Carolinas Medical Center At Home, LLC | Home Health | 105 T R Harris Dr, Shelby, NC 28150-3486 | 2005-06-01 |
| 1720214174 | Carolinas Medical Center At Home, LLC | Durable Medical Equipment & Medical Supplies | 105 T R Harris Dr, Shelby, NC 28150-3486 | 2009-05-29 |
| 1518157486 | Tammy White | Prosthetic/Orthotic Supplier | 105 T R Harris Dr, Shelby, NC 28150-3486 | 2007-07-27 |
| 1487852646 | Pamela Huffstetler | Prosthetic/Orthotic Supplier | 105 T R Harris Dr, Shelby, NC 28150-3486 | 2007-07-10 |
| 1518165794 | Carla Hamrick | Prosthetic/Orthotic Supplier | 105 T R Harris Dr, Shelby, NC 28150-3486 | 2007-07-10 |
| 1073710729 | Robin D Davis | Prosthetic/Orthotic Supplier | 105 T R Harris Dr, Shelby, NC 28150-3486 | 2007-06-27 |
| 1972594711 | Cleveland Home Health Agency | Durable Medical Equipment & Medical Supplies | 105 T R Harris Dr, Shelby, NC 28150-3486 | 2005-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231948 | Norris American Braces and Supplies LLC | Prosthetic/Orthotic Supplier | 131 E College Ave, Shelby, NC 28152-9543 | 2018-07-18 |
| 1013137926 | James P Rubel | Prosthetic/Orthotic Supplier | 119 E Grover St, Shelby, NC 28150-3803 | 2007-04-26 |
| 1518157486 | Tammy White | Prosthetic/Orthotic Supplier | 105 T R Harris Dr, Shelby, NC 28150-3486 | 2007-07-27 |
| 1487852646 | Pamela Huffstetler | Prosthetic/Orthotic Supplier | 105 T R Harris Dr, Shelby, NC 28150-3486 | 2007-07-10 |
| 1518165794 | Carla Hamrick | Prosthetic/Orthotic Supplier | 105 T R Harris Dr, Shelby, NC 28150-3486 | 2007-07-10 |
| 1073710729 | Robin D Davis | Prosthetic/Orthotic Supplier | 105 T R Harris Dr, Shelby, NC 28150-3486 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970770 | Survivor Friendly LLC | Prosthetic/Orthotic Supplier | 527 Keisler Dr Ste 104, Cary, NC 27518-9306 | 2020-10-20 |
| 1154920395 | Anderson Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 307 W Tremont Ave Ste 200, Charlotte, NC 28203-4902 | 2020-10-20 |
| 1528666195 | Skyland Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 1141 Tunnel Rd Ste E, Asheville, NC 28805-2037 | 2020-10-15 |
| 1982202545 | Davidson Prosthetics & Orthotics | Prosthetic/Orthotic Supplier | 845 Church St N Ste 205, Concord, NC 28025-4374 | 2020-10-15 |
| 1891301156 | Tys Cranial Prothesis | Prosthetic/Orthotic Supplier | 2400 S Memorial Dr Ste 3b, Greenville, NC 27834-5031 | 2020-09-21 |
| 1124645882 | The Royal Stich By Melinda | Prosthetic/Orthotic Supplier | 8032 Black Forest Ln Apt 10103, Charlotte, NC 28277-6746 | 2020-06-29 |
| 1073134573 | Diva Salon By Veronica Ashley, Inc. | Prosthetic/Orthotic Supplier | 10901 University City Blvd Ste 108, Charlotte, NC 28213-9300 | 2020-05-06 |
| 1841819711 | Sc&f Enterprises, LLC | Prosthetic/Orthotic Supplier | 2187 Skibo Rd, Fayetteville, NC 28314-0264 | 2020-04-10 |
| 1457986499 | Lala Lashes Charlotte | Prosthetic/Orthotic Supplier | 2434 Shad Ct, Charlotte, NC 28208-3307 | 2020-03-10 |
| 1871125237 | Elite Hair Replacement Inc | Prosthetic/Orthotic Supplier | 2110 Fort Bragg Rd Ste 112, Fayetteville, NC 28303-7036 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.