AMY ELIZABETH WATERS (NPI# 1134264302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134264302 |
| Entity Type | Individual |
| Full Name | AMY ELIZABETH WATERS |
| Other Name | BETSY WATERS |
| Credential | MS, RD, IBCLC |
| Practice Address |
1233 Southwest Ave Johnson City TN 37604-6596 |
| Mailing Address |
1111 Pine Root Branch Rd Bakersville NC 28705-7418 |
| Practice Telephone | 4239793200 |
| Practice Fax Number | 4236883261 |
| Mailing Telephone | 8286883631 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | EXEMPT | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285277673 | Amy Waters | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2019-10-18 |
| 1861997280 | Amy Waters | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2018-03-27 |
| 1124541982 | Amy Waters | Registered Nurse | 3020 Bailey Ave, Buffalo, NY 14215-2814 | 2017-07-24 |
| 1386191526 | Amy Waters | Local Education Agency (LEA) | 822 Forest Ave, Fulton, NY 13069-3342 | 2016-09-06 |
| 1093975153 | Amy Waters | Optometrist | 2401 Gillham Rd, Dept of Ophthalmology, Kansas City, MO 64108-4619 | 2008-06-12 |
| 1306939095 | Amy Elizabeth Waters | Physician Assistant | 6410 Rockledge Dr, Suite 201, Bethesda, MD 20817-1809 | 2006-10-02 |
| Street Address |
1233 SOUTHWEST AVE |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427020858 | Linda J Mcclure | Registered Nurse | 1233 Southwest Ave, Northeast Tennessee Regional Health Office, Johnson City, TN 37604-6596 | 2006-02-01 |
| 1780983619 | Melissa Ann Taylor | Registered Nurse | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2011-03-17 |
| 1740500305 | Kim D Taber | Registered Nurse | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2010-06-07 |
| 1578880399 | Alice Ford | Registered Nurse | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2010-05-04 |
| 1356514301 | Melanie Fritts Bishop | Dental Hygienist | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2008-04-10 |
| 1568594646 | Susan Michelle Ramsey | Registered Nurse | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2007-03-12 |
| 1508909193 | Rebekah M Burns | Dietitian, Registered | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2007-02-14 |
| 1831239755 | Shirley Karen Hughes | Registered Nurse | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2007-02-08 |
| 1518006212 | Ann Ramsey Shepard | Registered Nurse | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2007-02-06 |
| 1093853517 | Patricia Nester Allingham | Registered Nurse | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585892 | Danielle Dahlin | Dietitian, Registered | 2700 S Roan St Ste 212, Johnson City, TN 37601-7557 | 2020-07-13 |
| 1396219341 | Heal U, LLC | Dietitian, Registered | 2866 Carroll Creek Rd, Johnson City, TN 37615-4541 | 2019-01-13 |
| 1073004107 | Lindsay Howell | Dietitian, Registered | 1747 Skyline Dr Apt 12, Johnson City, TN 37604-3691 | 2018-05-24 |
| 1548618507 | Tia Filhiol | Dietitian, Registered | 115 Beechnut St Apt F8, Johnson City, TN 37601-1537 | 2016-06-01 |
| 1467748681 | Sherry D Kyker | Dietitian, Registered | 4 Dakota Pl, Johnson City, TN 37601-9074 | 2011-06-27 |
| 1467595009 | Sally Eggleston Dillon | Dietitian, Registered | 415 N. State of Franklin Road, Johnson City, TN 37604-6093 | 2007-02-14 |
| 1407995392 | Linda Bacon Walters | Dietitian, Registered | 4122 Bradford Ln, Johnson City, TN 37601-1065 | 2007-02-06 |
| 1528673225 | Mary L Trenda | Dietitian, Registered | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2020-09-10 |
| 1689228959 | Kirtan Slottje | Dietitian, Registered | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-07-25 |
| 1083178511 | Meredith Pellegrini | Dietitian, Registered | 2700 S Roan St Ste 410, Johnson City, TN 37601-7638 | 2019-01-29 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.