Active NPI
Robert Shawn Watkins
- Peer Specialist
- Oklahoma City, OK
National Provider Identifier
1235871088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 300 NW 12TH St Apt 321
Oklahoma City, OK 73103-3745 - Phone
- (405) 313-1300
- NPI assigned
- Apr 12, 2022
- Last updated
- Apr 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | NU | Primary |
Addresses
Primary practice location
300 NW 12TH St Apt 321
Oklahoma City, OK 73103-3745
Mailing address
300 NW 12TH St Apt 321
Oklahoma City, OK 73103-3745
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": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1235871088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 NW 12TH ST APT 321",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731033745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 NW 12TH ST APT 321",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731033745",
"telephone_number": "405-313-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "ROBERT",
"middle_name": "SHAWN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-12",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.