DR. ALLISON MILLER WATERBURY M.D.
NPI 1154663243
Student in an Organized Health Care Education/Training Program in Quincy, IL

Q: What is Allison Waterbury's NPI number?

The NPI number for Allison Waterbury is 1154663243. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Q: What is Allison Waterbury's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Allison Waterbury was last updated on July 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 26, 2013PECOS Enrolled

612 N 11TH ST, QUINCY, IL 62301(217) 224-9484 Get Directions Write a Review

NPPES record last updated: July 23, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Allison Miller Waterbury M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALLISON MILLER WATERBURY M.D. (NPI 1154663243) is an individual student in an organized health care education/training program in Quincy, Illinois and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154663243

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. ALLISON MILLER WATERBURYCredential: M.D.

Location Address612 N 11TH STQuincy, IL 62301-2662

Mailing Address612 N 11th StQuincy, IL 62301-2662 · (217) 224-9484

Phone(217) 224-9484

Sole ProprietorNo

Enumeration DateMarch 26, 2013

Last NPPES UpdateJuly 23, 2015

✔ NPI 1154663243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

612 N 11TH ST, Quincy, IL 62301

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Allison Miller Waterbury M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.