MRS. TRISHA LYNN WATERS (NPI# 1073097515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073097515 |
Entity Type | Individual |
Full Name | MRS. TRISHA LYNN WATERS |
Credential | FNP-C |
Practice Address |
6167 Mid Rivers Mall Dr Saint Peters MO 63304-1105 |
Practice Telephone | 6363644990 |
Practice Fax Number | 6363770049 |
Mailing Telephone | 6363644990 |
Mailing Fax Number | 6363770049 |
Enumeration Date | 2018-09-20 |
Last Update Date | 2019-10-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2018034579 | MO | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568866200 | Trisha Waters | Developmental Therapist | 513 S Chestnut St, Pana, IL 62557-1505 | 2014-10-09 |
Street Address |
6167 MID RIVERS MALL DR |
City | SAINT PETERS |
State | MO |
Zip Code | 63304-1105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699382127 | Susan Brockmeyer | Occupational Therapist | 600 Breeze View Ln, Weldon Springs, MO 63304 | 2020-09-29 |
1235743097 | Brett Allan Lancaster | Pharmacist | 3801 Old Highway 94, St. Peters, MO 63304 | 2020-08-31 |
1356834683 | Emily Elizabeth Blau | Chiropractor | 5055 State Highway N, 108, Cottleville, MO 63304 | 2018-06-12 |
1033606769 | Christina Marie Crain | Counselor | 501 Chele Dr, Saint Charles, MO 63304 | 2018-04-18 |
1063875532 | Amy L Ney-carder | Speech-Language Pathologist | 5199 State Highway N, St. Peters, MO 63304 | 2016-04-01 |
1609127745 | Lawlor Chiropractic LLC | Chiropractor | 6028 Weldon Spring Parkway, Weldon Spring, MO 63304 | 2012-09-28 |
1043588510 | Esther Lima | Pharmacist | 3801 S Harvester Rd, St Peters, MO 63304 | 2011-12-12 |
1922318245 | Sonya Paramore | Counselor | 1480 Woodstone Drive, Suite 211, Saint Charles, MO 63304 | 2010-10-20 |
1871624445 | Joylynn Anderson | Social Worker | 5931 Highway 94 South, Saint Charles, MO 63304 | 2007-03-08 |
1821155706 | Cynthia Lynn Sitarski | Occupational Therapist | 4545 Central School Road, St. Charles, MO 63304 | 2007-01-02 |
Find all providers in zip 63304 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801409669 | Jorgie Makowski | Nurse Practitioner | 303 Jungermann Rd Ste B, Saint Peters, MO 63376-5366 | 2020-08-31 |
1497280721 | Yalonda Amerson | Nurse Practitioner | 1220 Cashmere Ln, Saint Peters, MO 63376-2592 | 2017-04-24 |
1649725987 | Betty Mitchell | Nurse Practitioner | 20 Jamaica Dr, Saint Peters, MO 63376-1311 | 2016-08-16 |
1588905970 | Kelly D Williams | Nurse Practitioner | 560 Queens Court Pl, Saint Peters, MO 63376-7349 | 2013-03-08 |
1659650521 | Casey E Fincher | Nurse Practitioner | 400 Mid Rivers Mall Dr, Saint Peters, MO 63376-1577 | 2011-08-10 |
1962051086 | Monica Renee Hallquist | Nurse Practitioner | 4800 Mexico Rd Ste 101, Saint Peters, MO 63376-1666 | 2019-09-11 |
1417504358 | Molly Page Lashley | Nurse Practitioner | 6 Jungermann Cir Ste 215, Saint Peters, MO 63376-1626 | 2019-08-26 |
1851858971 | Dinalben Patel | Nurse Practitioner | 107 Piper Hill Dr Ste 100, Saint Peters, MO 63376-1651 | 2019-02-25 |
1700303757 | Leslie A Simpson | Nurse Practitioner | 112 Piper Hill Dr Ste 9, Saint Peters, MO 63376-1690 | 2017-08-29 |
1316464001 | Cindy Myers | Nurse Practitioner | 6994 Mexico Rd, Saint Peters, MO 63376-1512 | 2017-08-24 |
Find all providers in SAINT PETERS |
City | SAINT PETERS |
Zip Code | 63304 |
Please comment or provide details below to improve the information on MRS. TRISHA LYNN WATERS.
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.