Active NPI
Andrea Watson, DC, MS, MBA
- Chiropractor
- Las Vegas, NV
National Provider Identifier
1184272601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B01510
- Practice address
- 10420 S Decatur Blvd Ste 140
Las Vegas, NV 89141-8717 - Phone
- (702) 332-3355
- NPI assigned
- Aug 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | B01510 | NV | Primary |
Addresses
Primary practice location
10420 S Decatur Blvd Ste 140
Las Vegas, NV 89141-8717
Mailing address
9611 Stoney Mesa CT
Las Vegas, NV 89139-7403
Phone (702) 885-6166
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ScaledFitness.com | ||
| Other URL | ScaledFitness.com | Direct |
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
- Credentials
- Master of Business Administration, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B01510 | NV | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1184272601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9611 STONEY MESA CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891397403",
"telephone_number": "702-885-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10420 S DECATUR BLVD STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891418717",
"telephone_number": "702-332-3355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "DC, MS, MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B01510",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ScaledFitness.com",
"affiliation": "N",
"address_1": "10420 S Decatur Blvd Ste 140",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891418717",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ScaledFitness.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10420 S Decatur Blvd Ste 140",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891418717",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.