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Active NPI 1275335762 Individual Practitioner Male Practitioner

Kimiam Waters

Peer Specialist • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Kimiam Waters is a registered healthcare professional specializing in Peer Specialist in Seattle, WA. Practice services are available at 1600 S LANE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1600 S Lane St

Seattle, WA 981442810

Telephone 4255984092

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
307 Specialists

Practicing in Seattle, WA (2660 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

CMS Verified: 2025-03-25
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Fanta Gibba

Counselor

NPI 1013755370
Lydia Young

Case Manager/Care Coordinator

NPI 1023731023
Hani Abuassi

Social Worker

NPI 1033919261
Anneliese Black , RN

Registered Nurse

NPI 1043783491

Registered Nurse

Clara Juliano , RN

Registered Nurse

NPI 1053159475

Registered Nurse

Corictsa Montes , RN

Registered Nurse

NPI 1063072726

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 25, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2025

Registered at 1600 S LANE ST, SEATTLE, WA 981442810 (Tel: 4255984092)

📍
Updated Business Mailing Address March 25, 2025

Registered at 1600 S LANE ST, SEATTLE, WA 981442810 (Tel: 4255984092)

👤
Provider Name / Credentials Updated March 25, 2025

Recorded as KIMIAM WATERS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2025

Peer Specialist

🟢
Initial NPI Registration & Enumeration March 25, 2025

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: 1275335762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2025
Last Update: March 25, 2025
Sole Proprietor: No

Mailing Address

1600 S Lane St

Seattle, WA 981442810

Phone: 4255984092

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.