Individual provider Active NPI

Nanette L Watson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Alma, MI
National Provider Identifier
1336115807
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704207294 Issued in MI
Practice address
317 E Warwick Dr Ste B
Alma, MI 48801-1085
Phone
(989) 463-2779
Fax
(989) 463-2064
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704207294 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704207294 MI Primary

Addresses

Primary practice location

317 E Warwick Dr Ste B
Alma, MI 48801-1085

Mailing address

317 E Warwick Dr Ste B
Alma, MI 48801-1085
Phone (989) 463-2779

Other identifiers 1

IdentifierTypeStateIssuer
4431150MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060524000020 MI Practitioner - Nurse Practitioner 6002827490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wayne State University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, 698 clinicians

Practice addresses (Care Compare)

1210 W Saginaw St FL
2 Sparrow Behavioral Health Services
Lansing, MI 48915-1927
Phone (517) 364-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704207294MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association CurrentSince Dec 12, 2023 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Dec 12, 2023 Accepting new patients
Family Health Psychiatric & Counseling Center, PC CurrentSince Sep 27, 2010 Accepting new patients
Healthy Transitions LLC PastSince Dec 17, 2023 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

120 E Warwick Dr
Alma, MI 48801
Phone (989) 463-2779

317 E Warwick Dr
Ste B
Alma, MI 48801
Phone (989) 463-2779

102 S 3rd St
Ste 100
Carson City, MI 48811
Phone (989) 584-1308

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24246/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1336115807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E WARWICK DR STE B",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011085",
            "telephone_number": "989-463-2779",
            "fax_number": "989-463-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E WARWICK DR STE B",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011085",
            "telephone_number": "989-463-2779",
            "fax_number": "989-463-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "NANETTE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704207294",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704207294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4431150",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

Verify at the official NPI Registry.