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MR. TIMOTHY LEE WATERS ARNP NPI 1154705051


NPI Information

NPI: 1154705051
Provider Name: MR. TIMOTHY LEE WATERS, ARNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
16271 BASS RD
FORT MYERS, FL
ZIP 33908
Phone: (239) 985-1925
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MR. Timothy Lee Waters, ARNP is a gerontology nurse practitioner in Fort Myers, FL with 9 years of experience. MR. Timothy Lee Waters, ARNP NPI is 1154705051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16271 BASS RD
FORT MYERS, FL
ZIP 33908-616
Phone: (239) 985-1925
Fax: (239) 468-7929

The NPI 1154705051 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)
  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)

The enumeration date for this NPI number is 7/10/2015 and was last updated on 10/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerARNP9325102FLORIDANo
2363LA2100XNurse PractitionerAcute CareARNP 9325102FLORIDANo
3363LG0600XNurse PractitionerGerontologyAPRN9325102FLORIDAYes
4363LF0000XNurse PractitionerFamilyAPRN9325102FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11254561OTHERFLORIDAWELLCARE
2P973771OTHERFLORIDAOPTIMUM
3398643OTHERFLORIDAAVMED
4016793000MEDICAIDFLORIDA
54857567OTHERFLORIDAAETNA
6P1036301OTHERFLORIDAFREEDOM
7Y0SY4OTHERFLORIDABCBS
87061863OTHERFLORIDACIGNA
9P01652219OTHERFLORIDARR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.