Active NPI
Talisha Ladonna Watts, ANP-BC
- Adult Health Nurse Practitioner
- Chesterfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2008000145
- Practice address
- 34390 Country Meadow Rd
Chesterfield, MI 48047-3161 - Phone
- (313) 465-3550
- NPI assigned
- Jun 14, 2008
- Last updated
- May 28, 2015
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2008000145 | MI | Primary |
Addresses
Primary practice location
34390 Country Meadow Rd
Chesterfield, MI 48047-3161
Mailing address
34390 Country Meadow Rd
Chesterfield, MI 48047-3161
Phone (313) 465-3550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5008609170 | Other | MI | BCBS IND |
| 1215197082 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19141 Greenfield Rd
Detroit, MI 48235-6007
Phone (313) 960-6605
2601 Electric Ave
Port Huron, MI 48060-6587
Phone (484) 965-9566
Hospital & facility affiliations
- Lake Huron Medical Center
- Sinai-Grace Hospital
- Harper University Hospital
- Detroit Receiving Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.89 of 100
- Quality
- 60.24
- Improvement activities
- 40
- Cost
- 69.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008000145 | MI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Ahmad MD PLC | Current | Accepting new patients | |
| Michigan Emergency Services | Current | Accepting new patients | |
| Nephro-Care MD PLC | Current | Accepting new patients | |
| Primedical Healthcare Associates PLLC | Current | Accepting new patients | |
| Inhospital Physicians Michigan PLLC | Nurse Practitioner | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Ali Achira MD PC | Current | Accepting new patients | |
| Pioneer Medical Group PLLC | Current | Accepting new patients | |
| Ihp Mi Emergency Medicine PLLC | Current | Accepting new patients | |
| Inpatient Consultants of Michigan PC | Current | Accepting new patients |
Locations
1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
4700 Greenfield Rd
Ste 2C
Dearborn, MI 48126
Phone (313) 600-4669
19141 Greenfield Rd
Detroit, MI 48235
Phone (313) 835-8500
3990 John R St
Detroit, MI 48201
Phone (313) 745-6211
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
4201 Saint Antoine St
Ste 3R
Detroit, MI 48201
Phone (313) 745-3330
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
6501 Greenfield Rd
Ste B
Detroit, MI 48228
Phone (313) 651-7053
6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300
6255 Inkster Rd
Ste 201
Garden City, MI 48135
Phone (734) 425-7230
12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200
17177 N Laurel Park Dr
Ste 439
Livonia, MI 48152
555 Highland Ave
Milford, MI 48381
Phone (248) 684-1564
2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500
625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715
13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620
610 Sentry Pkwy
Bldg 660
Blue Bell, PA 19422
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FIHEBD
- twatts1157149@direct.hfhs.org
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Port Huron, MI
- NPI 1427840586
Nurse Practitioner
-
- Nephrology Physician
- Detroit, MI
- NPI 1336510072
-
dba Achira Endocrinology & Weight Loss Clinic
- Endocrinology, Diabetes & Metabolism Physician
- Dearborn, MI
- NPI 1750895835
-
- Emergency Medicine Physician
- Garden City, MI
- NPI 1861147456
-
- Hospitalist Physician
- Livonia, MI
- NPI 1861442824
-
- Medical Toxicology (Emergency Medicine) Physician
- Detroit, MI
- NPI 1316968191
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1801304688
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1396521662
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
MI, Nurse Practitioner
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1609229848
-
- General Practice Registered Nurse
- Chesterfield, MI
- NPI 1225582687
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1306227764
-
dba Detroit Receiving Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
dba Harper University Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
-
dba Sinai-Grace Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1215197082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34390 COUNTRY MEADOW RD",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480473161",
"telephone_number": "313-465-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34390 COUNTRY MEADOW RD",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480473161",
"telephone_number": "313-465-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "TALISHA",
"middle_name": "LADONNA",
"name_prefix": "Ms.",
"credential": "ANP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-14",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "2008000145",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IND",
"identifier": "5008609170",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215197082",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.