Active NPI
Rebecca Parham Watson, PA-C
- Physician Assistant
- N Providence, RI
National Provider Identifier
1316280548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00698
- Practice address
- 1169 Mineral Spring Ave
N Providence, RI 02904-4102 - Phone
- (401) 725-3888
- NPI assigned
- Apr 6, 2013
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00698 | RI | Primary |
Addresses
Primary practice location
1169 Mineral Spring Ave
N Providence, RI 02904-4102
Mailing address
1169 Mineral Spring Ave
N Providence, RI 02904-4102
Phone (401) 725-3888
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 |
|---|---|---|---|
| PA00698 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northprovidencepediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- North Providence, RI
- NPI 1992825293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365206400000",
"number": "1316280548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1169 MINERAL SPRING AVE",
"city": "N PROVIDENCE",
"state": "RI",
"postal_code": "029044102",
"telephone_number": "401-725-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1169 MINERAL SPRING AVE",
"city": "N PROVIDENCE",
"state": "RI",
"postal_code": "029044102",
"telephone_number": "401-725-3888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "REBECCA",
"middle_name": "PARHAM",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-06",
"last_updated": "2013-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA00698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.