Nedda Watkins

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

269826-01 Issued in NY

Practice address

136 Theodore St
Buffalo, NY 14211-2039

NPI assigned

Mar 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1306305073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 THEODORE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142112039",
            "telephone_number": "716-603-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 THEODORE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142112039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Seneca St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142041963",
            "country_code": "US",
            "telephone_number": "716-881-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 Wehrle Dr",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142217034",
            "country_code": "US",
            "telephone_number": "716-276-2123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Seneca St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142041963",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Seneca St Ste 610",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142041963",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "NEDDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "269826",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "269826-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daria Maxine Waterman
• Amy Waters
• Thaddeus Patrick Waters, MD
• Richard Christopher Waterstram, RN-BC, MS
• Brittany L Wathen, LPN
• Tangela Dion Watson-Bogan
• Diana G Watson, PHD
• Maria Watson
• Michael Watson, M.D.
• Michelle Watson

• Licensed Practical Nurse in Buffalo, NY
• Providers in Buffalo, 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 Apr 17, 2024; 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.