Individual provider Active NPI

Marilyn Hopson Watson, APRN

  • Women's Health Nurse Practitioner
  • Sulphur, LA
National Provider Identifier
1013916378
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN054586-AP03069 Issued in LA
Practice address
1200 Stelly LN
Sulphur, LA 70663-5134
Phone
(337) 312-1000
Fax
(337) 527-8963
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN054586-AP03069 LA Primary

Addresses

Primary practice location

1200 Stelly LN
Sulphur, LA 70663-5134

Mailing address

PO Box 4610
Lake Charles, LA 70606-4610
Phone (337) 312-1000

Other identifiers 1

IdentifierTypeStateIssuer
1547352MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN054586-AP03069LAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Cameron Hospital Service District Current Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Jan 26, 2014 Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Jan 26, 2014 Accepting new patients

Locations

1020 Main St
Hackberry, LA 70645
Phone (337) 762-3762

1200 Stelly Ln
Sulphur, LA 70663
Phone (337) 312-1000

703 Cypress St
Ste A
Sulphur, LA 70663
Phone (337) 310-0395

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1013916378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4610",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706064610",
            "telephone_number": "337-312-1000",
            "fax_number": "337-527-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STELLY LN",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635134",
            "telephone_number": "337-312-1000",
            "fax_number": "337-527-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MARILYN",
        "middle_name": "HOPSON",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "RN054586-AP03069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1547352",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

Verify at the official NPI Registry.