Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Courtney Waters

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811508435

Courtney Waters is a Physician Assistant in Bountiful, Utah. Qualified in 2021, 5 years ago. Practices with Joshua Oaks MD PLLC, a 31-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2020
Specialties on file
2

Practice location Address checks out

557 W 2600 S
Bountiful, UT 84010-7717
Phone: (801) 298-9155
Fax: (801) 298-9156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12615135-1206 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811508435
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2020
Last updated in NPPESJanuary 21, 2022
Certification dateJanuary 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Joshua Oaks Md Pllc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bountiful