Individual provider Active NPI

Katherine Watson

  • Occupational Therapist
  • Ruston, LA
National Provider Identifier
1235749151
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
324175 Issued in LA
Practice address
1603 Goodwin Rd
Ruston, LA 71270-2907
Phone
(318) 255-7550
Fax
(318) 255-7552
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2016035930 MO
Occupational Therapist 225X00000X 324175 LA Primary

Addresses

Primary practice location

1603 Goodwin Rd
Ruston, LA 71270-2907

Mailing address

1605 Stubbs Ave
Monroe, LA 71201-5629
Phone (318) 388-8414

Other practice location 1

1175 Pine St
Arcadia, LA 71001-3121
Phone (318) 263-4700

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

State licenses

LicenseStateTypeSpecialty
324175LAMDOccupational Therapist
2016035930MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Building Futures PastSince Apr 16, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1235749151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 STUBBS AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015629",
            "telephone_number": "318-388-8414",
            "fax_number": "318-388-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 GOODWIN RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702907",
            "telephone_number": "318-255-7550",
            "fax_number": "318-255-7552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1175 Pine St",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "LA",
            "postal_code": "710013121",
            "country_code": "US",
            "telephone_number": "318-263-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2016035930",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "324175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.