Yakisha Caravelle Watts, NURSE

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

44506 Issued in SC

Practice address

44 Pine Knoll Dr Ste K
Greenville, SC 29609-3257

Phone

(864) 991-8856

Fax

(864) 991-8893

NPI assigned

Aug 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Reaching Your Potentials Home Care, LLC

  • In Home Supportive Care Agency
  • Greenville, SC
  • NPI 1306622840
  NPD Authorized official

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1245913623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PINE KNOLL DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296093251",
            "telephone_number": "864-567-6046",
            "fax_number": "864-991-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 PINE KNOLL DR STE K",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296093257",
            "telephone_number": "864-991-8856",
            "fax_number": "864-991-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "YAKISHA",
        "middle_name": "CARAVELLE",
        "credential": "NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "44506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie N Watts, PT, DPT
• Thomas J. Watts, D.O.
• Tiwona Watts
• Whitney Rae Watts, PHARMD
• Xavier Antoine Watts
• Allyson Hudgins Way, RN
• Philip Michael Way, M.D.
• Christy Wayner, CRNA
• We Care Durable Medical Equipment
• We Care Durable Medical Equipment, LLC

• Licensed Practical Nurse in Greenville, SC
• Providers in Greenville, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.