MRS. TAMMIE C WATERS (NPI# 1770636243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770636243 |
| Entity Type | Individual |
| Full Name | MRS. TAMMIE C WATERS |
| Credential | CFNP |
| Practice Address |
305 Mill St Baldwyn MS 38824-2122 |
| Practice Telephone | 6623653253 |
| Practice Fax Number | 6623653484 |
| Mailing Telephone | 6623653253 |
| Mailing Fax Number | 6623653484 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R574929 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | UNITED HEALTHCARE | 32-0073167 | 01 |
| MS | HEALTHLINK | 32-0073167 | 01 |
| MS | CIGNA | 32-0073167 | 01 |
| MS | 03222231 | 05 | |
| MS | BLUE CROSSBLUE SHIELD | 32-0073167 | 01 |
| MS | BAPTIST | 32-0073167 | 01 |
| MS | AETNA | 32-0073167 | 01 |
| Street Address |
305 MILL ST |
| City | BALDWYN |
| State | MS |
| Zip Code | 38824-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699952606 | Waters Family Health Care | Family Medicine | 305 Mill St, Baldwyn, MS 38824 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063970325 | Kayla N Schafer | Registered Nurse | 420 Neighbor Road, Baldwyn, MS 38824 | 2019-03-06 |
| 1255758496 | Carey Bradford Brashier | Physical Therapist | 715 Us Highway 45, Baldwyn, MS 38824 | 2014-03-26 |
| 1861663460 | Vicki Michelle Lambert | Nurse Practitioner | 121 South Second Street, Baldwyn, MS 38824 | 2008-03-22 |
| 1700988037 | North Mississippi Medical Clinics Inc | Family Medicine | 745 South 4th Street, Baldwyn, MS 38824 | 2006-09-05 |
| 1164539193 | North Mississippi Medical Center, Inc. | Skilled Nursing Facility | 739 Fourth Street, Baldwyn, MS 38824 | 2006-08-24 |
| 1306806930 | Sharon Mitchell | Internal Medicine | 745 Hwy 145 South, Baldwyn, MS 38824 | 2006-03-27 |
| 1184617458 | Thomas G Graham Jr. | Pharmacist | P.o. Drawer B, 111 South Second St, Baldwyn, MS 38824 | 2005-08-23 |
| 1962705871 | Jason P Yarber | Physical Therapist | 715 Highway 45, Baldwyn, MS 38824 | 2010-12-15 |
| 1215247937 | Vml Medical Services of Booneville Inc | Clinic/Center | 121 South Second Street, Baldwyn, MS 38824 | 2010-10-15 |
| 1568677797 | Donald Ansel Presley | Dentist | 692 Grisham Street, Baldwyn, MS 38824-0247 | 2007-05-11 |
| Find all providers in zip 38824 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829284 | Kimberly B. Outlaw | Nurse Practitioner | 312 Road 2878, Baldwyn, MS 38824-9024 | 2019-09-06 |
| 1861663460 | Vicki Michelle Lambert | Nurse Practitioner | 121 South Second Street, Baldwyn, MS 38824 | 2008-03-22 |
| 1356335764 | Anita Joy Turner | Nurse Practitioner | 1031 Northridge Rd, Baldwyn, MS 38824-1173 | 2005-08-31 |
| 1356853345 | Lauren Kutrip Horton | Nurse Practitioner | 121 S 2nd St, Baldwyn, MS 38824-2216 | 2017-10-30 |
| 1548770514 | Larry Richard Arnold | Nurse Practitioner | 1031 Northridge Rd, Baldwyn, MS 38824-1173 | 2017-10-04 |
| 1053618710 | Richard Comer | Nurse Practitioner | 529 S Fourth St, Baldwyn, MS 38824-2114 | 2011-02-16 |
| 1518168210 | Heather Hancock | Nurse Practitioner | 1031 Northridge Rd, Baldwyn, MS 38824-1173 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. TAMMIE C 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.