Individual provider Active NPI

Danelle Dominique Watson-Howard, LPN

  • Licensed Practical Nurse
  • San Antonio, TX
National Provider Identifier
1114515160
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L0067352 Issued in OK
Practice address
4200 Timberbrook Dr Apt 2921
San Antonio, TX 78238-4011
Phone
(719) 799-3766
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L0067352 OK Primary

Addresses

Primary practice location

4200 Timberbrook Dr Apt 2921
San Antonio, TX 78238-4011

Mailing address

4200 Timberbrook Dr Apt 2921
San Antonio, TX 78238-4011
Phone (719) 799-3766

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
L0067352OKMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1114515160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 TIMBERBROOK DR APT 2921",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782384011",
            "telephone_number": "719-799-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 TIMBERBROOK DR APT 2921",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782384011",
            "telephone_number": "719-799-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON-HOWARD",
        "first_name": "DANELLE",
        "middle_name": "DOMINIQUE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L0067352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.