Jacqueline Alyse Watt, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-2674 Issued in NV

Practice address

1664 N Virginia St # Ms 0152
Reno, NV 89557-2426

Phone

(775) 784-4887

Fax

(775) 784-4095

NPI assigned

Sep 28, 2017

Last updated

Mar 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1306355722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 N VIRGINIA ST # MS 152",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895570001",
            "telephone_number": "775-784-4887",
            "fax_number": "775-784-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 N VIRGINIA ST # MS 0152",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895572426",
            "telephone_number": "775-784-4887",
            "fax_number": "775-784-4095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Cottage St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973012426",
            "country_code": "US",
            "telephone_number": "503-399-1135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATT",
        "first_name": "JACQUELINE",
        "middle_name": "ALYSE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "15408",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Michael Watson, M.D.
• Lisa Watson, LMSW
• Lynette Sue Watson
• Robert W Watson II, M.D.
• Taryn M Watson
• Thomas L Watterson, SLP / PHD
• Cecelia Janet Watts, LPN
• Chad D Watts, MD
• Penny Lea Watts
• Haillee Waugh

• Speech-Language Pathologist in Reno, NV
• Providers in Reno, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.