MS. CARRIE LEE WATERS (NPI# 1285789610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285789610 |
| Entity Type | Individual |
| Full Name | MS. CARRIE LEE WATERS |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
5429 Wrightsville Ave Pelican Family Medicine Wilmington NC 28403-6513 |
| Mailing Address |
5905 Carolina Beach Rd Ste 8 Wilmington NC 28412-2792 |
| Practice Telephone | 9107921001 |
| Mailing Telephone | 9103327900 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2011-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
104038 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922386713 | Carrie Waters | Speech-Language Pathologist | 17553 White Marble Dr, Monument, CO 80132-7444 | 2011-07-27 |
| 1568470201 | Carrie S Waters | Physical Therapist | 911 Country Club Rd, Suite 150, Eugene, OR 97401-6044 | 2006-08-04 |
| Street Address |
5429 WRIGHTSVILLE AVE PELICAN FAMILY MEDICINE |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-6513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780668327 | Milam Professional Services | Psychiatry & Neurology | 5429 Wrightsville Ave, Wilmington, NC 28403-6513 | 2005-12-06 |
| 1699261818 | Joshua Nicholas Ellerbrock | Nurse Practitioner | 5429 Wrightsville Ave, Wilmington, NC 28403-6513 | 2018-07-11 |
| 1710337332 | Jennifer Miller | Nurse Practitioner | 5429 Wrightsville Ave, Wilmington, NC 28403-6513 | 2016-06-14 |
| 1598040685 | Marian Deaton Guill | Nurse Practitioner | 5429 Wrightsville Ave, Wilmington, NC 28403-6513 | 2011-10-20 |
| 1932332376 | Valerie J Cousins | Nurse Practitioner | 5429 Wrightsville Ave, Wilmington, NC 28403-6513 | 2009-09-02 |
| 1093943177 | Melissa Erin Griffin | Family Medicine | 5429 Wrightsville Ave, Wilmington, NC 28403-6513 | 2009-06-26 |
| 1316083520 | Cheryl Smith | Family Medicine | 5429 Wrightsville Ave, Wilmington, NC 28403-6513 | 2007-01-29 |
| 1669480042 | Pelican Family Medicine, P.a. | Family Medicine | 5429 Wrightsville Ave, Wilmington, NC 28403-6513 | 2006-08-03 |
| 1912952847 | Mark Samuel Thomas Armitage | Family Medicine | 5429 Wrightsville Ave, Wilmington, NC 28403-6513 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244471 | Caroline Gooch Reynolds | Physician Assistant | 340 Sabra Dr, Wilmington, NC 28405-3833 | 2020-01-13 |
| 1821658675 | Matthew Hisler Hrin | Physician Assistant | 5209 W Woodmill Dr Ste 35, Wilmington, DE 19808-4068 | 2019-06-14 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1568833010 | N. Barton & Associates Inc. | Physician Assistant | 3629 Old Capitol Trl, Wilmington, DE 19808-6025 | 2015-10-09 |
| 1770950305 | Angelica Jackson | Physician Assistant | 1982 Eastwood Rd, Wilmington, NC 28403-7213 | 2015-08-31 |
| 1396015939 | Access Internal Medicine, PC | Physician Assistant | 1606 Wellington Ave Ste A, Wilmington, NC 28401-7704 | 2012-01-11 |
| 1679741987 | Amy L Strasser | Physician Assistant | 2700 Silverside Rd Ste 2, Wilmington, DE 19810-3724 | 2008-02-20 |
| 1932387842 | Gabrielle Logan Neal-barney | Physician Assistant | 2301 Delaney Ave, Wilmington, NC 28403-6012 | 2008-02-01 |
| 1528247244 | Teresa A. Holler | Physician Assistant | 4000 Shipyard Blvd Ste 120, Wilmington, NC 28403-6194 | 2007-10-30 |
| 1902922677 | Robert Anthony Disibio Jr. | Physician Assistant | 3322 Silverside Rd, Wilmington, DE 19810 | 2007-03-22 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.