Beth A Watson

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Practice address

509 Washington St
Brainerd, MN 56401-3307

Phone

(218) 829-2496

NPI assigned

Sep 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Harting Shoe Repair Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1073708103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 WASHINGTON ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013307",
            "telephone_number": "218-829-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 WASHINGTON ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013307",
            "telephone_number": "218-829-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "BETH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARTING",
            "last_name": "SHOE REPAIR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Casey Wagner, LICSW
• Lynnette Yvonne Wagner, LICSW
• Jennifer Ann Waldriff, APRN
• Walgreen Co
• Mark Wassink, P.T.
• Frank F Weber, MS, LP
• Don W Wennberg, MD
• Robert Wayne Wennerstrand, RPH
• Kimberly Ashley Westaway, MSW
• James Whistler

• Customized Equipment (DME) in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Customized Equipment (DME) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.