Anica Watson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2715 Mackey PL Ste 135
Shreveport, LA 71118-2528

Phone

(318) 220-7483

NPI assigned

Mar 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615680000000",
    "number": "1194300871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 MACKEY PL STE 135",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 MACKEY PL STE 135",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182528",
            "telephone_number": "318-220-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ANICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-14",
        "last_updated": "2021-03-14",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Zoom",
            "affiliation": "N",
            "address_1": "106 Live Oak Dr",
            "city": "Ruston",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712701098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Zoom",
            "affiliation": "N",
            "endpointDescription": "Contactless meeting",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "106 Live Oak Dr",
            "city": "Ruston",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712701098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brandon Watkins
• Devin Watkins
• Lomia Watkins
• William Harrel Watkins, M.D.
• William Juan Watkins, M.D.
• Dianna Lynn Watson, PT, DPT, PCS
• Frank Taylor Watson, P.D.
• Jenna Garcia Watson, D.C.
• Jesse Lee Watson Sr., M.DIV; BCC
• Katlyn Watson

• Case Manager/Care Coordinator in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.