Active NPI
Tanya Eileen Watson, ATC/L
- Athletic Trainer
- Las Cruces, NM
National Provider Identifier
1275946063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 611
- Practice address
- 1815 Wells St
RM 202
Las Cruces, NM 88003-1304 - Phone
- (575) 646-7182
- Fax
- (575) 646-3564
- NPI assigned
- Jun 9, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 611 | NM | Primary |
Addresses
Primary practice location
1815 Wells St
RM 202
Las Cruces, NM 88003-1304
Mailing address
PO Box 30001
MSC 3Fac
Las Cruces, NM 88003-8001
Phone (575) 646-7182
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
| License | State | Type | Specialty |
|---|---|---|---|
| 611 | NM | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1275946063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30001",
"address_2": "MSC 3FAC",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880038001",
"telephone_number": "575-646-7182",
"fax_number": "575-646-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 WELLS ST",
"address_2": "RM 202",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880031304",
"telephone_number": "575-646-7182",
"fax_number": "575-646-3564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "TANYA",
"middle_name": "EILEEN",
"name_prefix": "Ms.",
"credential": "ATC/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-09",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NM",
"license": "611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.