Kaysci Jayne McWatters

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

910 Spring St Ste 4
Petoskey, MI 49770-2881

Phone

(231) 268-0007

NPI assigned

Jun 22, 2023

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

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": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1215613617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 273",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "497270273",
            "telephone_number": "231-350-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SPRING ST STE 4",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702881",
            "telephone_number": "231-268-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWATTERS",
        "first_name": "KAYSCI",
        "middle_name": "JAYNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McLaren Northern Michigan
• Mark R McMurray, M.D.
• Missy Marie McNeil, LMSW
• Amanda Suzanne McVannel
• Cassidy J McWatters
• Matthew Phillip Mead, M.D.
• Sharnee Michaela Mead, DO
• Medco Home Care, Inc.
• Denise Davidson Meeks, C.N.M.
• William Lloyd Meengs, MD

• All providers in Petoskey, MI
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.