Carla Watson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

346877 Issued in NY

Practice address

3 Sweden LN Apt 21
Brockport, NY 14420-2544

Phone

(585) 857-1914

NPI assigned

Nov 3, 2023

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1265205827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SWEDEN LN APT 21",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202544",
            "telephone_number": "585-857-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SWEDEN LN APT 21",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202544",
            "telephone_number": "585-857-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "CARLA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "346877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Wal-Mart Stores, East, LP
• Walgreen Co
• Kimberly Sue Walitzer, PHD
• Krystal A Wallis, PHARM D
• Wegman Family (Brockport) LLC II
• Wegmans Food Markets, Inc.
• Weinstein Dental Group, PLLC
• Sol H Weinstein
• Stephen Weinstein

• Licensed Practical Nurse in Brockport, NY
• Providers in Brockport, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.