Donzetta Marie Watson

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN23508 Issued in OH

Practice address

1324 Plain Ave NE
Canton, OH 44714-2486

Phone

(614) 209-1308

NPI assigned

Dec 8, 2021

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

Other identifiers 1

Electronic endpoints 1

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": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1184383010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 PLAIN AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447142486",
            "telephone_number": "614-209-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 PLAIN AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447142486",
            "telephone_number": "614-209-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "DONZETTA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "RN23508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN231508",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Canton",
            "affiliation": "N",
            "address_1": "1324 Plain Ave NE",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447142486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Watson
• Ashley Watson, MSN, AGACNP
• Christopher A Watson, ATC
• Debra Watson, CCDC I
• Diana Elisabeth Alice Watson
• Gwendolyn Gail Watson, LPN
• Taylor James Watson, LPC
• Thomas W Watson, M.D.
• Toni Watson
• Victoria Watson, DO

• Home Health Registered Nurse in Canton, OH
• Providers in Canton, OH by specialty
• Home Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.