Active NPI
Tina Marie Watkins
- Behavior Technician
- Selinsgrove, PA
National Provider Identifier
1225774680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 420 8TH St
Selinsgrove, PA 17870-1603 - Phone
- (570) 847-5269
- NPI assigned
- May 9, 2022
- Last updated
- May 9, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
420 8TH St
Selinsgrove, PA 17870-1603
Mailing address
45 Route 11
Shamokin Dam, PA 17876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1225774680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 ROUTE 11",
"city": "SHAMOKIN DAM",
"state": "PA",
"postal_code": "17876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 8TH ST",
"city": "SELINSGROVE",
"state": "PA",
"postal_code": "178701603",
"telephone_number": "570-847-5269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "TINA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-09",
"last_updated": "2022-05-09",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selinsgrove, PA
- Vision Max
- Joanna Wagner, PA-C
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2185)
- Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
- Tiffany Colette Walter
- Weis Markets Inc (Weis Pharmacy #226)
- Wellspan Medical Group (WellSpan Family Medicine)
- Ashlee D. Wertman, DO
- Bonnie L Whipple, PH.D.
- Jason Matthew Whistler, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.