Gregory Michael Watson, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

173328 Issued in TX

Practice address

1929 Allison St
Graham, TX 76450-4810

Phone

(817) 694-6944

NPI assigned

Dec 11, 2019

Last updated

Dec 11, 2019By the provider in NPPES

Sex

Male

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": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1215575105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 ALLISON ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504810",
            "telephone_number": "817-694-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 ALLISON ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504810",
            "telephone_number": "817-694-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "173328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Vervynck
• W Patrick Martin MD PA
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0353)
• Wal-Mart Stores Texas, LLC (Wal-Mart Vision Center 30-0353)
• Tammy A. Walker, LMT
• Dana Weldon
• Joshua Benson West, RN
• Wichita Falls Staffing Solutions LLC
• Brandi Renae Wilde, M.S., CCC-SLP
• Emily Patrice Wood, APRN-CNP

• Licensed Vocational Nurse in Graham, TX
• Providers in Graham, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.