NPIMap

Organization Active NPI

Watts Primary Care, PSC

  • Primary Care Clinic/Center
  • Southfield, MI
National Provider Identifier
1235442435
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4704246644 Issued in MI
Legal business name
WATTS PRIMARY CARE, PSC
Practice address
29425 Northwestern Hwy
Suite 125
Southfield, MI 48034-1080
Phone
(248) 569-7550
Fax
(248) 569-7552
NPI assigned
Jul 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Dr. Talisha L Watts, DNP
Title
Adult Nurse Practitioner
Phone
(313) 465-9892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4704246644 MI Primary

Addresses

Primary practice location

29425 Northwestern Hwy
Suite 125
Southfield, MI 48034-1080

Mailing address

34390 Country Meadow Rd
Chesterfield, MI 48047-3161
Phone (313) 465-9892

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1235442435",
    "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",
            "telephone_number": "313-465-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29425 NORTHWESTERN HWY",
            "address_2": "SUITE 125",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341080",
            "telephone_number": "248-569-7550",
            "fax_number": "248-569-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATTS PRIMARY CARE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "TALISHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADULT NURSE PRACTITIONER",
        "authorized_official_telephone_number": "313-465-9892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4704246644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.