DAWN M WATERS


Address: 4500 13th St, Gulfport, MS 39501-2569
Phone: 2288674000

DAWN M WATERS (NPI# 1881217792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881217792
Entity Type Individual
Full Name DAWN M WATERS
Practice Address 4500 13th St
Gulfport
MS 39501-2569
Mailing Address 14231 Seaway Rd Ste F9
Gulfport
MS 39503-4648
Practice Telephone 2288674000
Mailing Telephone 2288608827
Enumeration Date 2020-05-26
Last Update Date 2020-05-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2472E0500X Technician, Other
Specialization: EEG
Technologists, Technicians & Other Technical Service Providers

Other Providers DAWN WATERS

NPI Name Taxonomy Address Enumeration
1417492125 Dawn Elizabeth Waters Counselor 112 Arbor Ln, Alpena, MI 49707-1302 2017-01-04

Office Location

Street Address 4500 13TH ST
City GULFPORT
State MS
Zip Code 39501-2569

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790777142 Jack Q Causey II Specialist 4500 13th St, Gulfport, MS 39501-2515 2005-08-20
1255940110 Brittany Threatt Specialist/Technologist, Other 4500 13th St, Gulfport, MS 39501-2515 2020-07-27
1356963953 Jamie Rea Morris Family Medicine 4500 13th St, Gulfport, MS 39501-2515 2020-05-18
1497374490 Alicia Lee Ellsberry Nurse Practitioner 4500 13th St, Gulfport, MS 39501-2515 2020-04-10
1578192035 Lauren Martino Pharmacist 4500 13th St, Gulfport, MS 39501-2515 2020-04-06
1942840368 Addie Holleman Holcomb Registered Nurse 4500 13th St, Gulfport, MS 39501-2515 2020-01-14
1477190114 Shannon Vallee Canzoneri Pharmacist 4500 13th St, Gulfport, MS 39501-2515 2019-12-02
1629614003 Kanieshia M Mitchell Nurse Practitioner 4500 13th St, Gulfport, MS 39501-2569 2019-11-21
1346882339 Molly H Weir Nurse Practitioner 4500 13th St, Gulfport, MS 39501-2515 2019-10-11
1083265185 Trinh Thu Weatherly Nurse Anesthetist, Certified Registered 4500 13th St, Gulfport, MS 39501-2569 2019-09-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598301632 Daniel Edward Bloom Physician Assistant Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 2019-11-25
1730721374 Affinity Healthcare LLC Non-emergency Medical Transport (VAN) 1822 15th St, Suite 8, Gulfport, MS 39501 2019-10-15
1093361156 Gulf Coast Companion Care, LLC Home Health 1314 Pass Road, Ste B, Gulfport, MS 39501 2019-08-14
1609420991 Greg Meekin Ent Otolaryngology 1201 31st Avenue, Gulfport, MS 39501 2019-07-25
1225681216 Murphy Chiropractic Gulfport, LLC Clinic/Center 2700 25th Ave., Gulfport, MS 39501 2019-07-19
1477022838 Patriot Healthcare of Mississippi, LLC Family Medicine 1110 Broad Street, Suite 300, Gulfport, MS 39501 2018-11-15
1477003028 Mindful Matters Nurse Practitioner 1613 23rd Avenue, Gulfport, MS 39501 2016-10-06
1902294093 Tangular Barnes Nurse Practitioner Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 2014-12-25
1487065355 Huong Nguyen Pharmacist 2433 25th Avenue, Gulfport, MS 39501 2014-05-14
1770907412 Matthew Coleman Military Health Care Provider Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 2014-02-18
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Taxonomy Information

Taxonomy Code 2472E0500X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Other
Specialization EEG

Taxonomy Definition

Definition to come...

Competitor

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City GULFPORT
Zip Code 39501

Improve Information

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Dataset Information

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.

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