Terry Watkin, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

010104747 Issued in VA

Practice address

12007 Sunrise Valley Dr
Suite 120
Reston, VA 20191-3479

Phone

(301) 624-5730

Fax

(301) 624-5731

NPI assigned

Sep 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Pediatric Specialists of Virginia, LLC

  • Pediatrics Physician
  • Fairfax, VA
  • NPI 1699119818

  DC

  Medicare reassignment NPD
• Neuroscience Consultants, PLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Reston, VA
  • NPI 1033546908
  NPD (past)
• Neuroscience Consultants, PLC

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Reston, VA
  • NPI 1871508366

  Specialist

  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043315369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79429",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790429",
            "telephone_number": "301-624-5730",
            "fax_number": "301-624-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12007 SUNRISE VALLEY DR",
            "address_2": "SUITE 120",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913479",
            "telephone_number": "301-624-5730",
            "fax_number": "301-624-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKIN",
        "first_name": "TERRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "010104747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lingshu Wang, APRN
• Vanessa Wansel, CRNP
• Warby Parker Inc.
• Alexandra Washington, D.P.T.
• Jeannie Fitzgerald Waters, MA, M.ED
• Watt and Clark L.C.
• Nina Watts
• Rebecca L Weaver, DPT
• Mary Elizabeth Webber
• Karen Wei Erh Isadore Wee, MSW, QMHP-A

• Specialist in Reston, VA
• Providers in Reston, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.