MRS. AMY WATERS (NPI# 1285277673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285277673 |
| Entity Type | Individual |
| Full Name | MRS. AMY WATERS |
| Credential | LPC |
| Practice Address |
7925 S Broadway Ave Ste 820 Tyler TX 75703-5255 |
| Mailing Address |
7925 S Broadway Ave Tyler TX 75703-5227 |
| Practice Telephone | 9035618955 |
| Mailing Telephone | 9033434493 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
69252 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1134264302 | Amy Elizabeth Waters | Dietitian, Registered | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2007-02-21 |
| 1306939095 | Amy Elizabeth Waters | Physician Assistant | 6410 Rockledge Dr, Suite 201, Bethesda, MD 20817-1809 | 2006-10-02 |
| Street Address |
7925 S BROADWAY AVE STE 820 |
| City | TYLER |
| State | TX |
| Zip Code | 75703-5255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801228218 | Evelyn Sarah Dillman | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2013-08-07 |
| 1336767557 | Erika Sadler | Student in an Organized Health Care Education/Training Program | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2020-07-14 |
| 1730711813 | Chantel Marie Buccat Longino | Social Worker | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2020-02-06 |
| 1336793546 | Lonna Stewart | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2019-07-25 |
| 1730645185 | Nathaniel Winfield Briggs | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2019-02-11 |
| 1790249860 | Kami Jackson | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2019-01-23 |
| 1790259000 | Chris Legg | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2019-01-20 |
| 1275003410 | Molly Moore | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2018-11-30 |
| 1255801700 | Tyler Sullins | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2018-11-27 |
| 1124545967 | Evelyn Dillman Counseling | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2017-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622164 | Tere Pamela Ortega | Counselor | 701 Shiloh Rd Apt 717, Tyler, TX 75703-3838 | 2020-09-05 |
| 1669083937 | Arturo Vega II | Counselor | 5000 Edinburgh Dr Apt 904, Tyler, TX 75703-2713 | 2020-08-11 |
| 1063020675 | Tyler Family Counseling, Pllc | Counselor | 16075 Fm 2493, Tyler, TX 75703-7363 | 2020-07-20 |
| 1144838707 | Ceselie Ann Tobin | Counselor | 121 S Broadway Ave Ste 820, Tyler, TX 75702-7282 | 2020-07-20 |
| 1124636824 | Austyn Teal Bailiff | Counselor | 1058 Asher Way Ste 400, Tyler, TX 75703-6076 | 2020-07-19 |
| 1881237899 | Ida F Baty | Counselor | 3367 Cascades Blvd Apt 119, Tyler, TX 75709-5447 | 2019-10-22 |
| 1073077673 | Hobert Stanley Miller | Counselor | 15360 Fm 850, Tyler, TX 75707-3916 | 2019-01-28 |
| 1922594308 | Grace Counceling Center | Counselor | 1828 E Se Loop 323 Ste Ll14, Tyler, TX 75701-8398 | 2018-07-09 |
| 1578072971 | Julie Kathryn David | Counselor | 17121 Us Highway 69 S, Tyler, TX 75703-8091 | 2017-09-28 |
| 1619411204 | Marla Cannefax | Counselor | 121 S Broadway Ave Ste 528, Tyler, TX 75702-7209 | 2016-12-15 |
| Find all providers in TYLER | ||||
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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.