Individual provider Active NPI

Matthew Alexander Watson, DNP, FNP-C

  • Family Nurse Practitioner
  • Monterey, CA
National Provider Identifier
1033629571
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61065080 Issued in WA
Practice address
473 Cabrillo St BLDG 422
Monterey, CA 93944-3201
Phone
(831) 242-4117
Fax
(630) 570-6085
NPI assigned
Oct 11, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61065080 WA Primary

Addresses

Primary practice location

473 Cabrillo St BLDG 422
Monterey, CA 93944-3201

Mailing address

9040 Jackson Ave Jay Clinic
Tacoma, WA 98431-0001
Phone (253) 968-5828

Other practice location 1

4301 Jones Bridge Rd
Bethesda, MD 20814-4712
Phone (301) 295-9561

Other practice location 2

9040 Jackson Ave Jay Clinic Jay Clinic
Tacoma, WA 98431-4712
Phone (253) 968-5828

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL matthew.a.watson.mil@mail.mil Direct
Other URL matthew.a.watson.mil@health.mil Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210805002054 WA Order and Referring Only - Nurse Practitioner 6406250927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP61065080WAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1033629571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE JAY CLINIC",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 CABRILLO ST BLDG 422",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939443201",
            "telephone_number": "831-242-4117",
            "fax_number": "630-570-6085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Jones Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208144712",
            "country_code": "US",
            "telephone_number": "301-295-9561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9040 Jackson Ave Jay Clinic Jay Clinic",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984314712",
            "country_code": "US",
            "telephone_number": "253-968-5828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MATTHEW",
        "middle_name": "ALEXANDER",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-11",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61065080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "matthew.a.watson.mil@mail.mil",
            "affiliation": "N",
            "endpointDescription": "Secure Military Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Military Email",
            "address_1": "9040 Jackson Ave Jay Clinic Jay Clinic",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984314712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "matthew.a.watson.mil@health.mil",
            "affiliation": "N",
            "endpointDescription": "Military email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "473 Cabrillo St Bldg 422",
            "city": "Monterey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "939443201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.