THOMAS WATTERS CRNA
NPI 1417939224
Nurse Anesthetist, Certified Registered in South Hill, VA

Q: What is Thomas Watters's NPI number?

The NPI number for Thomas Watters is 1417939224. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Q: What is Thomas Watters's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Watters was last updated on April 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since November 17, 2005

125 BUENA VISTA CIR, SOUTH HILL, VA 23970(952) 442-9770 Get Directions Write a Review

NPPES record last updated: April 28, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Thomas Watters Crna NPPES

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

THOMAS WATTERS CRNA (NPI 1417939224) is an individual nurse anesthetist, certified registered in South Hill, Virginia, licensed in Virginia (0001036832) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1417939224

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameTHOMAS WATTERSCredential: CRNA

Location Address125 BUENA VISTA CIRSouth Hill, VA 23970-1431

Mailing Address400 E 10th StWaconia, MN 55387-4552 · (952) 442-9770 · Fax (952) 442-3630

Phone(952) 442-9770

Sole ProprietorNo

Enumeration DateNovember 17, 2005

Last NPPES UpdateApril 28, 2008

✔ NPI 1417939224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in VA · 0001036832

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

125 BUENA VISTA CIR, South Hill, VA 23970

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Other Identifiers 4

Medicare ID-Type Unspecified430000236VA

Medicare ID-Type Unspecified430006344VA · Railroad Medicare

Other080567VA · Blue Cross Of Va

Medicaid9550020VA

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.

TAMMY ELAINE WALTERS PA-C

Physician Assistant (Medical)

125 BUENA VISTA CIR, PAVILLION
SOUTH HILL, VA 23970

Mecklenburg County (434) 447-3151

DR. KEITH HUMMEL MD

Emergency Medicine