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Deactivated NPI 1376778878 Deactivated / Inactive NPI Female Practitioner

Marjorie Waters

Licensed Practical Nurse • Gainesville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Marjorie Waters has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 28, 2009
NPI Deactivation Date September 08, 2021
Total Practice Duration ~12 Years of Practice (2009 – 2021)

Professional Overview & Biography Verified Profile Summary

Marjorie Waters was a registered Licensed Practical Nurse practicing in Gainesville, FL. Throughout an active medical career spanning 12 years, Marjorie Waters provided care at the practice location at 4300 SW 13TH ST until profile deactivation on 2021-09-08.

Practice Location & Contact Primary Location

Practice Address

4300 Sw 13th St

Gainesville, FL 326084006

Telephone 3523745600
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Gainesville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
218 Specialists

Practicing in Gainesville, FL (1995 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License FL PN762731

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Roger Smith

Counselor

NPI 1003077637
Joseph Palmer

Counselor

NPI 1003079021
Mabel Che-Tuma

Registered Nurse

NPI 1003109729
Charnette Merritt

Social Worker - Clinical

NPI 1003111402
Kelly Miller

Counselor

NPI 1003119223
Murielle Saint-Jean

Case Manager/Care Coordinator

NPI 1003126038

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 08, 2021

Record deactivated on September 08, 2021

NPI Profile Active May 28, 2009

NPI status registered as active in NPPES database

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Updated Practice Location May 28, 2009

Registered at 4300 SW 13TH ST, GAINESVILLE, FL 326084006 (Tel: 3523745600)

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Updated Business Mailing Address May 28, 2009

Registered at 4300 SW 13TH ST, GAINESVILLE, FL 326084006 (Tel: 3523745600)

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Provider Name / Credentials Updated May 28, 2009

Recorded as MARJORIE WATERS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2009

Licensed Practical Nurse (License #PN762731 in FL)

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Initial NPI Registration & Enumeration May 28, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376778878
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2009
Last Update: May 28, 2009
Deactivation Date: September 08, 2021

Mailing Address

4300 Sw 13th St

Gainesville, FL 326084006

Phone: 3523745600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.