Erin Watson-Guard

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

SL007327 Issued in PA

Practice address

3300 Township Line Rd Ste 102
Drexel Hill, PA 19026-1925

Phone

(610) 853-9919

NPI assigned

Dec 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Sunshine Therapy Club

  • Early Intervention Provider Agency
  • Drexel Hill, PA
  • NPI 1093015356
  NPD (past)
• Sunshine Therapy Club II Inc

  • Early Intervention Provider Agency
  • Drexel Hill, PA
  • NPI 1700186061
  NPD (past)

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1043494347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 TOWNSHIP LINE RD STE 102",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261925",
            "telephone_number": "610-853-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TOWNSHIP LINE RD STE 102",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261925",
            "telephone_number": "610-853-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON-GUARD",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "PA",
            "license": "SL007327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019421880002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Jeannette Walker
• Xiaoyi Wang, OMD
• Rebecca Quick Wantman, MS CCC-SLP
• Mark Warner, DO
• Dana Harris Waters, D.P.M.
• Saul Joel Weisfeld, D.M.D.
• Wheels Take You There Transportation Services LLC
• Gail White, BS
• Whole Homecare LLC
• Lindsay C Wick, M.S.ED., MPE

• Community Health Worker in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Community Health Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.