Shannon Watkins, MD

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

C175137 Issued in CA

Practice address

2299 Post St Ste 312
San Francisco, CA 94115-3475

Phone

(805) 973-0495

Fax

(415) 440-6356

NPI assigned

Apr 13, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 14, 2023 through Jul 14, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Brooklyn Nephrology Group, P.C.

  • Specialist
  • Brooklyn, NY
  • NPI 1881609352

  Single Specialty

  NPD
• Kathleen M Welsh MD PC

  • Medical Specialty Clinic/Center
  • San Francisco, CA
  • NPI 1497059158

  Single Specialty

  NPD (past)
• Chatham Chiropractic Center

  • Chiropractor
  • Chatham, NJ
  • NPI 1003961244

  Single Specialty

  NPD (past)
• Cosmedical Plastic Surgery & Dermatology, PA

  dba Baxt CosMedical

  • Dermatology Physician
  • Paramus, NJ
  • NPI 1770896029

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1144463779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 POST ST STE 312",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153475",
            "telephone_number": "805-973-0495",
            "fax_number": "415-440-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 POST ST STE 312",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153475",
            "telephone_number": "805-973-0495",
            "fax_number": "415-440-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "SHANNON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "C175137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Watkins, PHARMD
• Lindsay Ann Watkins
• Lori Watkins
• Lynn Watkins, M.A.
• Seth Emanuel Watkins
• Sharon Castaneda Watkins, LVN,CLE,IBCLC,RLC
• Virginia Watkins, AMFT, APCC
• Kyle Watry, PT, DPT
• Paul Watsky
• Caitlin Wei-Ming Watson, PHD

• Procedural Dermatology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Procedural Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.