KEYONIA SHANEICE WATERS
NPI 1316602113
Counselor - Professional in Arlington, VA
About Keyonia Shaneice Waters NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEYONIA SHANEICE WATERS (NPI 1316602113) is an individual professional provider in Arlington, Virginia, licensed in Virginia (0701010462) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keyonia Shaneice Waters is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ARLINGTON, VA 22204
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 Keyonia Waters's NPI number?
The NPI number for Keyonia Waters is 1316602113. It was assigned to this individual provider in the NPPES registry on November 5, 2021.
Where is Keyonia Waters located?
Keyonia Waters practices at 2100 Washington Blvd Fl 4, Arlington, VA 22204. The listed phone number is (703) 228-1700.
What is Keyonia Waters's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Keyonia Waters enrolled in Medicare?
Yes. Keyonia Waters is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Keyonia Waters was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Keyonia Shaneice Waters · NPI 1316602113
Professional provider in Arlington, Virginia. Individual provider, active in the CMS NPPES registry since November 5, 2021.
## Identity
- **NPI:** 1316602113 (Entity type: Individual)
- **Enumerated:** November 5, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0701010462 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2100 WASHINGTON BLVD FL 4, Arlington, VA 22204-5717
- **Phone:** (703) 228-1700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** November 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1316602113) · Data from the CMS NPPES public registry.