JASON WATERS
NPI 1174043244
Military Health Care Provider - Independent Duty Corpsman in Annapolis, MD

Active since June 21, 2017
695 KINKAID RD, ANNAPOLIS, MD 21402(410) 293-1764 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 5, 2024, Jun 21, 2017 (2 updates tracked since 2017).

About Jason Waters NPPES

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

JASON WATERS (NPI 1174043244) is an individual independent duty corpsman provider in Annapolis, Maryland and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1174043244
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameJASON WATERS
Location Address695 KINKAID RDAnnapolis, MD 21402-1006
Mailing AddressMarine Air Group 26, Psc Box 21010Jacksonville, NC 28545
Sole ProprietorNo
Enumeration DateJune 21, 2017
Last NPPES UpdateApril 5, 20242 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
NPI 1174043244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

695 KINKAID RD, Annapolis, MD 21402

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
695 KINKAID RD
ANNAPOLIS, MD 21402
Optometrist
695 KINKAID RD
ANNAPOLIS, MD 21402
Dental Hygienist
695 KINKAID RD
ANNAPOLIS, MD 21402
Optometrist
695 KINKAID RD
ANNAPOLIS, MD 21402
Dentist (Prosthodontics)
695 KINKAID RD
ANNAPOLIS, MD 21402
Military Health Care Provider (Independent Duty Corpsman)
695 KINKAID RD
ANNAPOLIS, MD 21402
Physical Therapy Assistant
695 KINKAID RD
ANNAPOLIS, MD 21402
Psychologist
695 KINKAID RD
ANNAPOLIS, MD 21402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Waters's NPI number?

The NPI number for Jason Waters is 1174043244. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Where is Jason Waters located?

Jason Waters practices at 695 Kinkaid Rd, Annapolis, MD 21402. The listed phone number is (410) 293-1764.

What is Jason Waters's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Jason Waters was last updated on April 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.