Saran Charisse Watts

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

31101 Allen Rd
Building 5
Southgate, MI 48195

Phone

(616) 818-6639

NPI assigned

Oct 18, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1003382979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31160 WILDWOOD ST APT 5210",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31101 ALLEN RD",
            "address_2": "BUILDING 5",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "48195",
            "telephone_number": "616-818-6639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Revere Dr",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600621566",
            "country_code": "US",
            "telephone_number": "847-306-9843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "SARAN",
        "middle_name": "CHARISSE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene Annette Watkins, LPN
• Deandra Watley
• Margie Y Watson
• Taylor Makenzie Watson, RN
• April Watts
• Sienna Mae Watts
• Wayne County Associates LLC
• Carin B Wayne, RN
• Arianna Weaver
• Estelle Delores Weaver, LBSW

• Case Manager/Care Coordinator in Southgate, MI
• Providers in Southgate, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.