Individual provider Active NPI

Heather Ann Watterlond, LVN

  • Psychiatry Physician
  • Bakersfield, CA
National Provider Identifier
1043541345
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
VN197943 Issued in CA
Practice address
5201 White LN
Bakersfield, CA 93309-6200
Phone
(661) 398-1800
Fax
(661) 241-6254
NPI assigned
Jan 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X VN197943 CA Primary

Addresses

Primary practice location

5201 White LN
Bakersfield, CA 93309-6200

Mailing address

5201 White LN
Bakersfield, CA 93309-6200
Phone (661) 398-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VN197943CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1043541345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 WHITE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933096200",
            "telephone_number": "661-398-1800",
            "fax_number": "661-241-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 WHITE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933096200",
            "telephone_number": "661-398-1800",
            "fax_number": "661-241-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTERLOND",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "VN197943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.