Madeline Watson, RD

Primary specialty

Pediatric Critical Care Nutrition Registered DietitianTaxonomy code 133VN1401X

Practice address

22101 Moross Rd
Detroit, MI 48236-2148

Phone

(313) 343-7270

NPI assigned

Dec 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Madeline Vyletel Former name

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": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1225807191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 BISHOP RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301144",
            "telephone_number": "313-506-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22101 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362148",
            "telephone_number": "313-343-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MADELINE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1401X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric Critical Care",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1401X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric Critical Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "VYLETEL",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer N. Watson, NP-C
• John Charles Watson Jr., BSW
• Kinyatta Watson, LPN
• Kirbie Watson, RN
• Laportia Watson
• Peter Y. Watson, M.D.
• Quentin Watson, RRT
• Reima Watson, AA/AODA
• Roderick Maxwell Watson
• Sikudhani Ashura-Faye Watson

• Registered Dietitian in Detroit, MI
• Providers in Detroit, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.