Dr. Jenelle a. Watts, MD PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

DR. JENELLE A. WATTS, MD PA

Practice address

4513 Meadow Ridge Dr
Plano, TX 75093-3343

Phone

(469) 277-9103

NPI assigned

Feb 3, 2021

Organization subpart

No

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

Authorized official

Name

Jenelle Watts, MDNPI 1891761649

Title

Owner

Phone

(469) 277-9103

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Jenelle A. Watts, MD Doing business as
• Jenelle A. Watts, MD PA Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenelle S Watts, MD

  • Obstetrics & Gynecology Physician
  • Plano, TX
  • NPI 1891761649
  NPD Authorized official

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1124619937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 COIT RD STE 480-221",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753797",
            "telephone_number": "469-277-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 MEADOW RIDGE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933343",
            "telephone_number": "469-277-9103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 Coit Rd Ste 480-221",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750753797",
            "country_code": "US",
            "telephone_number": "214-392-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. JENELLE A. WATTS, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "JENELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-277-9103",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021735",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenelle A. Watts, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jenelle A. Watts, MD PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jenelle A. Watts, MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.