Laura Anne Jussila Watterson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4207 Issued in NC

Practice address

19924 Jetton Rd
Cornelius, NC 28031-8250

Phone

(704) 896-8446

NPI assigned

Jun 10, 2011

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolina Sports Chiropractic PLLC

  • Chiropractor
  • Charlotte, NC
  • NPI 1902034846
  NPD (past)
• Jennifer Lidstrom Ms DC PC

  • Multi-Specialty Clinic/Center
  • Cornelius, NC
  • NPI 1033125240

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1013202639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19924 JETTON RD",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318250",
            "telephone_number": "704-896-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19924 JETTON RD",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318250",
            "telephone_number": "704-896-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTERSON",
        "first_name": "LAURA",
        "middle_name": "ANNE JUSSILA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3649",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Brelonda R. Walker, LPC
• Clyde J Walker, D.C.
• Emily Walley
• Michelle Larice Webb, OTR
• Scott Brandon Webster, PA
• Cristina Wehner, MTSC,LPCS,CSATS,CHFP
• Kenneth McNeil Welborne, DDS
• Stephanie Ann Welch, APRN

• Chiropractor in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.