Watts Primary Care PSC

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

4704246644 Issued in MI

Legal business name

WATTS PRIMARY CARE PSC

Practice address

34390 Country Meadow Rd
Chesterfield, MI 48047-3161

Phone

(313) 465-9892

NPI assigned

Aug 15, 2016

Organization subpart

No

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

Authorized official

Name

Talisha Watts, DNP

Title

Ceo

Phone

(313) 465-9892

Specialties & licenses 1

Addresses

Tax ID family

Watts Primary Care PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Watts Primary Care, PSC

  • Primary Care Clinic/Center
  • Southfield, MI
  • NPI 1235442435
  NPD tax ID

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1225582687",
    "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"
        },
        {
            "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": "313-465-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATTS PRIMARY CARE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "TALISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-465-9892",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "MI",
            "license": "4704246644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lasonya Washington
• Rhianna D Wasielewski
• Carol Ann Wasilco
• Demario Watson
• Keoshia Watson
• Talisha Ladonna Watts, ANP-BC
• Kion Weaver
• Artiesha Webb
• Elisa Webb
• Eric Carl Webb, O.D.

• General Practice Registered Nurse in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• General Practice Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.