SANDRA WATERS (NPI# 1669698874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669698874 |
| Entity Type | Individual |
| Full Name | SANDRA WATERS |
| Credential | D.C. |
| Practice Address |
200 Darby St Crescent City CA 95531-9156 |
| Practice Telephone | 7074642811 |
| Practice Fax Number | 7074648211 |
| Mailing Telephone | 7074642811 |
| Mailing Fax Number | 7074648211 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC14804 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD CA | DC0148040 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023360153 | Sandra Sue Waters | Speech-Language Pathologist | 16835 Deer Creek Dr, Suite 120, Spring, TX 77379-4968 | 2012-10-13 |
| 1902051642 | Sandra Waters | Case Manager/Care Coordinator | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2008-11-21 |
| 1902813009 | Sandra L Waters | Nurse Anesthetist, Certified Registered | 830 S Gloster, Tupelo, MS 38801 | 2006-08-02 |
| Street Address |
200 DARBY ST |
| City | CRESCENT CITY |
| State | CA |
| Zip Code | 95531-9156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548725237 | John Michael Horner | Counselor | 455 Kst, Crescent City, CA 95531 | 2019-02-06 |
| 1245716943 | Tonya Shantel Escobar | Registered Nurse | 1301b Northcrest Drive #13, Crescent City, CA 95531 | 2018-07-16 |
| 1679019319 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 657 Hwy 101 N, Crescent City, CA 95531 | 2017-01-18 |
| 1063969558 | Darrick Stewart Roach | Massage Therapist | 1225 Marshall St., 18, Crescent City, CA 95531 | 2016-09-01 |
| 1447638044 | Yelena Zaitseva Lavender | Counselor | 455 K Street, Crescent City, CA 95531 | 2015-05-14 |
| 1942630421 | Kamilia Ann Schnacker | Counselor | 370 9th Street, Crescent City, CA 95531 | 2013-11-19 |
| 1881906261 | Peter Allen Brown | Psychologist | 505 H Street, Crescent City, CA 95531 | 2010-07-13 |
| 1700119385 | Remi Vista Services for Probation Youth | Community/Behavioral Health | 206 Williams Dr # 2, Crescent City, CA 95531 | 2009-09-14 |
| 1982862538 | Joshua Thomas Matson | Chiropractor | 550 E Washington Blvd Ste 100, Crescent City, CA 95531 | 2008-05-30 |
| 1902076250 | County of Del Norte | Community/Behavioral Health | 1125 Burtschell, Crescent City, CA 95531 | 2008-03-03 |
| Find all providers in zip 95531 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649721523 | Laurent Wanner Chiropractic, Inc | Chiropractor | 1000 Northcrest Dr, Ste 3, Crescent City, CA 95531-2317 | 2016-10-17 |
| 1982862538 | Joshua Thomas Matson | Chiropractor | 550 E Washington Blvd Ste 100, Crescent City, CA 95531 | 2008-05-30 |
| 1649493818 | Cecilia Patton Chiropractic, A Professional Corporation | Chiropractor | 785 E Washington Blvd Ste 6, Crescent City, CA 95531-8372 | 2007-04-10 |
| 1780709964 | Robert Alan Gommel | Chiropractor | 611 N Summit St, Crescent City, FL 32112-2147 | 2007-03-20 |
| 1790829745 | Cecilia Marie Patton | Chiropractor | 785 E Washington Blvd, Suite 6, Crescent City, CA 95531-8343 | 2007-02-16 |
| 1114079175 | Sean Gray | Chiropractor | 414 9th St, Crescent City, CA 95531-3430 | 2007-01-18 |
| 1740341353 | Gaylen Johnson | Chiropractor | 1059 9th St, Suite B, Crescent City, CA 95531-2841 | 2006-12-13 |
| 1942376223 | Julie Ann Hodies | Chiropractor | 455 K St, Crescent City, CA 95531-4107 | 2006-11-28 |
| 1932113982 | Tracy David Cole | Chiropractor | 1347 Northcrest Dr, Crescent City, CA 95531-2322 | 2006-07-27 |
| 1891792131 | Robert Tovey Johnson | Chiropractor | 848 3rd St, Crescent City, CA 95531-4319 | 2005-07-01 |
| Find all providers in CRESCENT CITY | ||||
| City | CRESCENT CITY |
| Zip Code | 95531 |
Please comment or provide details below to improve the information on SANDRA 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.