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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENNETH WATERS RN, PHN
NPI 1457226714
Nurse Practitioner - Family in Sonoma, CA

Active since October 07, 2025
347 ANDRIEUX ST, SONOMA, CA 95476(707) 935-5100 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2026, Oct 7, 2025 (2 updates tracked since 2025).

About Kenneth Waters Rn, Phn NPPES

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

KENNETH WATERS RN, PHN (NPI 1457226714) is an individual family provider in Sonoma, California, licensed in California (95040750) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1457226714
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKENNETH WATERSCredential: RN, PHN
Location Address347 ANDRIEUX STSonoma, CA 95476-6863
Mailing Address1109 Clayton CtNovato, CA 94945-2308
Phone(707) 935-5100
Sole ProprietorNo
Enumeration DateOctober 7, 2025
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1457226714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95040750
Also ListedRegistered NurseTaxonomy 163W00000X · License 95281023 (CA)
347 ANDRIEUX ST, Sonoma, CA 95476
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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.

DR. NICOLAS SAWYER M.D.
Emergency Medicine
347 ANDRIEUX ST
SONOMA, CA 95476
Sonoma County (707) 935-5000
NORTH BAY ANESTHESIA MEDICAL GROUP
Anesthesiology
347 ANDRIEUX ST
SONOMA, CA 95476
Sonoma County (951) 929-6260
ROBIN LABITZKE
Pharmacist
347 ANDRIEUX ST
SONOMA, CA 95476
Sonoma County (707) 935-5000
DR. ERIC C KIMBLES N.D.
Naturopath
347 ANDRIEUX ST
SONOMA, CA 95476
Sonoma County (707) 494-6303
ANGELA CUENTO MARIAN PT
Physical Therapist
347 ANDRIEUX ST
SONOMA, CA 95476
Sonoma County (707) 935-5000
MAREK ROMUALD GRZYBOWSKI P.T.
Physical Therapist
347 ANDRIEUX ST
SONOMA, CA 95476
Sonoma County (707) 935-5345
SIENNA LISH DPT
Physical Therapist
347 ANDRIEUX ST
SONOMA, CA 95476
Sonoma County (707) 935-5345
NANCY LARGE PHARMD
Pharmacist
347 ANDRIEUX ST
SONOMA, CA 95476
Sonoma County (707) 935-5335

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 Kenneth Waters's NPI number?

The NPI number for Kenneth Waters is 1457226714. It was assigned to this individual provider in the NPPES registry on October 7, 2025.

Where is Kenneth Waters located?

Kenneth Waters practices at 347 Andrieux St, Sonoma, CA 95476. The listed phone number is (707) 935-5100.

What is Kenneth Waters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kenneth Waters was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.