JACQUELYN A WATERS (NPI# 1952816977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952816977 |
| Entity Type | Individual |
| Full Name | JACQUELYN A WATERS |
| Credential | MAT |
| Practice Address |
64-5117 White Rd Kamuela HI 96743-8239 |
| Mailing Address |
67-1272 Kaleiohu St Kamuela HI 96743-8396 |
| Practice Telephone | 8083440429 |
| Mailing Telephone | 8083440429 |
| Mailing Fax Number | 8087694985 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MAT-2697 | HI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | MASSAGE LICENSE | MAT-2697 | 01 |
| Street Address |
64-5117 WHITE RD |
| City | KAMUELA |
| State | HI |
| Zip Code | 96743-8239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386281848 | Yvonne Peggy Giron | Massage Therapist | 64-5193 Kinohou Street, Suite 106, Kamuela, HI 96743 | 2019-12-04 |
| 1396209706 | Renee Leiokamalia Wulzen | Massage Therapist | Ironwood Center Suite 106, 64-5193 Kinohou Street, Kamuela, HI 96743 | 2019-01-30 |
| 1205390358 | Kaiser Foundation Health Plan, Inc. | Clinic/Center | 67-1185 Hawaii Belt Road, Waimea, HI 96743 | 2019-01-23 |
| 1093299752 | Welch Family Chiropractic | Chiropractor | 65-1227a Opelo Rd., 103, Kamuela, HI 96743 | 2018-09-19 |
| 1922585272 | Hamakua Health Center, Inc. | Clinic/Center | 65-1230 Mamalahoa Highway, Suite C 13/14, Kamuela, HI 96743 | 2018-07-19 |
| 1184119554 | Elizabeth Kehau Kealoha | Registered Nurse | 64-778 Paelialanui Street, Kamuela, HI 96743 | 2018-06-27 |
| 1851889000 | Juliana Koffman | Behavioral Analyst | 5-1279 Kawaihae Road, Suite 201, Waimea, HI 96743 | 2018-04-24 |
| 1235646365 | Margaret A Horwatt | Acupuncturist | 65-1235 Opelo Rd #2, Kamuela, HI 96743 | 2018-01-10 |
| 1770099574 | Acupuncture Solutions LLC | Acupuncturist | 64-5263 Hoohoa St, Kamuela, HI 96743 | 2017-12-17 |
| 1477064798 | Patty Ann Kaholokula | Behavioral Analyst | 65-1279 Kawaihae Rd, # 210, Kamuela, HI 96743 | 2017-10-12 |
| Find all providers in zip 96743 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881234243 | Jacy Lynn Waiau | Massage Therapist | 64-1040 Mamalahoa Hwy Ste 203, Kamuela, HI 96743-8450 | 2020-01-13 |
| 1386281848 | Yvonne Peggy Giron | Massage Therapist | 64-5193 Kinohou Street, Suite 106, Kamuela, HI 96743 | 2019-12-04 |
| 1447893755 | Nicole Marie Berinobis | Massage Therapist | 64-5193 Kinohou St Ste 106, Kamuela, HI 96743-8446 | 2019-10-21 |
| 1396209706 | Renee Leiokamalia Wulzen | Massage Therapist | Ironwood Center Suite 106, 64-5193 Kinohou Street, Kamuela, HI 96743 | 2019-01-30 |
| 1225508856 | Carey Lee | Massage Therapist | 67-1296 Puaena St # K-2, Kamuela, HI 96743-8413 | 2018-11-27 |
| 1912418237 | Chikako Hoshino Powers | Massage Therapist | 65-1560 Kawaihae Rd, Kamuela, HI 96743-8458 | 2017-10-12 |
| 1326410572 | Gabriella Mata | Massage Therapist | 65-1235 Opelu Rd, Kamuela, HI 96743 | 2015-10-28 |
| 1871803718 | Marian Hughes | Massage Therapist | 62-2041 Mahua St., Kamuela, HI 96743-0067 | 2010-10-13 |
| 1992029839 | Kelen Rae Geller Casey | Massage Therapist | 65-1235a Opelo Rd # 3, Kamuela, HI 96743-8401 | 2010-03-22 |
| 1609047992 | Regina V Chaltry | Massage Therapist | 64-1040 Mamalahoa Hwy, #201, Kamuela, HI 96743-8450 | 2008-03-14 |
| Find all providers in KAMUELA | ||||
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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.