Active NPIIndividual providerSole proprietor

Marisa Waters

Early Intervention Provider Agency in Shelburne Falls, Massachusetts

NPI Number1144079807
Practice location
45 Main St Apt 4, Shelburne Falls, MA 01370-1165
Fax
—
Last updated
May 15, 2024

Marisa Waters is an Early Intervention Provider Agency based in Shelburne Falls, MA. Marisa Waters practices in Shelburne Falls, MA. The NPI Number for Marisa Waters is 1144079807 and holds a License No. 532396 (MA). The current practice location address for Marisa Waters is 45 Main St Apt 4, Shelburne Falls, MA 01370-1165 and can be reached out via phone at 413-474-0540.

Provider Profile Details

NPI Number
1144079807
Provider Name
Marisa Waters
Provider Entity Type
Individual
Gender
Female
Address
45 Main St Apt 4, Shelburne Falls, MA 01370-1165
Phone Number
413-474-0540
Primary Taxonomy
Early Intervention Provider Agency · 252Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 15, 2024
Last Update Date
May 15, 2024
Certification Date
May 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Main St Apt 4
Shelburne Falls, MA 01370-1165
Zip
01370-1165
Phone Number
413-474-0540
Shelburne Falls, MA 01370Get directions →

Provider Business Mailing Address Details

Address
45 Main St Apt 4
Shelburne Falls, MA 01370-1165
City
Shelburne Falls
State
MA
Zip
01370-1165

License Information

License Number
532396
License State
MA
Taxonomy
Early Intervention Provider Agency · 252Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marisa Waters?

The NPI number of Marisa Waters is 1144079807. It was assigned on May 15, 2024 and is currently active in the NPPES registry.

What is the specialty of Marisa Waters?

Marisa Waters is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X), licensed in MA under license number 532396.

Where does Marisa Waters practice?

The practice location is 45 Main St Apt 4, Shelburne Falls, MA 01370-1165. The office can be reached at 413-474-0540 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144079807 directly on the NPPES registry website.

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