Jessanna Danielle Watts, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

Q787132427022 Issued in MN

Practice address

106 4TH Avenue North
Fergus Falls, MN 56537

Phone

(218) 998-3778

Fax

(218) 998-3187

NPI assigned

Jun 23, 2010

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 names 1

• Jessanna Danielle Heyl Other name

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.

• CK Home Health

  • Assisted Living Facility
  • Fergus Falls, MN
  • NPI 1447553284
  NPD (past)
• CK Home Health Care Inc.

  • Home Health Agency
  • Fergus Falls, MN
  • NPI 1568685683
  NPD (past)

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1104137264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 4TH AVENUE SE",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "56164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 4TH AVENUE NORTH",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "56537",
            "telephone_number": "218-998-3778",
            "fax_number": "218-998-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "JESSANNA",
        "middle_name": "DANIELLE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "Q787132427022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSANNA",
            "last_name": "HEYL",
            "middle_name": "DANIELLE",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Scott Allan Wagnild, DDS
• Walgreen Co
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• Samantha Larae Ward, RN
• Scott Ronald Ward, RPH
• Erica Sue Weatherford, LPN
• Amie Welch, RN
• Mitchell C. Wellman, DDS
• Courtney Ann Welvaert, RN
• Jacob Allen Wendland, D.P.T

• All providers in Fergus Falls, MN
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.