Stephanie Watts, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703104600 Issued in MI

Practice address

11462 Wahrman St
Romulus, MI 48174-3860

Phone

(734) 833-4543

Fax

(734) 833-4543

NPI assigned

Jan 30, 2018

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1184122533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11462 WAHRMAN ST",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743860",
            "telephone_number": "734-833-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11462 WAHRMAN ST",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743860",
            "telephone_number": "734-833-4543",
            "fax_number": "734-833-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "STEPHANIE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703104600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanise Walker
• Melinda Sue Walsh, LMSW
• Michelle Walsh, LLMSW
• Ortheia Denae Ward, MS, LLP
• Kevin L Warren
• Delahi Wesley
• Erica White
• Alexandra Wilbanks
• Charles Romeo Wilder II, O.D.,F.A.A.O.
• Amber Easterbell Williams

• Licensed Practical Nurse in Romulus, MI
• Providers in Romulus, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.