Individual provider Active NPI

Linda Helen Watson, WHNP

  • Women's Health Nurse Practitioner
  • Onalaska, WI
National Provider Identifier
1043668528
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1230-33 Issued in WI
Practice address
1828 E Main St
Suite 10
Onalaska, WI 54650-8780
Phone
(608) 782-9675
Fax
(608) 782-1123
NPI assigned
May 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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 1230-33 WI Primary

Addresses

Primary practice location

1828 E Main St
Suite 10
Onalaska, WI 54650-8780

Mailing address

1828 E Main St
Suite 10
Onalaska, WI 54650-8780
Phone (608) 782-9675

Other identifiers 1

IdentifierTypeStateIssuer
100054861MedicaidWI

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
1230-33WIMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1043668528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 E MAIN ST",
            "address_2": "SUITE 10",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508780",
            "telephone_number": "608-782-9675",
            "fax_number": "608-782-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 E MAIN ST",
            "address_2": "SUITE 10",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508780",
            "telephone_number": "608-782-9675",
            "fax_number": "608-782-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LINDA",
        "middle_name": "HELEN",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WI",
            "license": "1230-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100054861",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.