Individual provider Active NPI

Rebecca Lynn Watson, M.D.

  • Family Medicine Physician
  • Chanute, KS
National Provider Identifier
1346388196
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-32120 Issued in KS
Practice address
629 S Plummer Ave
Chanute, KS 66720-1928
Phone
(620) 431-4000
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-32120 KS Primary

Addresses

Primary practice location

629 S Plummer Ave
Chanute, KS 66720-1928

Mailing address

PO Box 426
Chanute, KS 66720-0426
Phone (620) 431-4000

Other practice location 1

1408 East St
Iola, KS 66749-4402
Phone (620) 365-3115

Other identifiers 1

IdentifierTypeStateIssuer
200435080AMedicaidKS

Other names 1

  • Dr. Rebecca Lynn Lohman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebeccawatson@Neosho.CernerDirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070813000686 KS Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 4880785369 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-32120KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neosho Memorial Regional Medical Center Current Accepting new patients
Neosho Memorial Regional Medical Center Current Accepting new patients
Neosho Memorial Regional Medical Center CurrentSince Jan 1, 2016 Accepting new patients
Nmrmc Urology Clinic CurrentSince Jan 1, 2016 Accepting new patients
Neosho Memorial Regional Medical Center Past Accepting new patients

Locations

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a9daee2a-e42f-4702-9c42-486fbda403f6/
  • Direct secure messaging: rebeccawatson@neosho.cernerdirect.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family Physicians P aIola, KS, CCN 178969 Rural health clinic Corporate Officer Nov 18, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1346388196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667200426",
            "telephone_number": "620-431-4000",
            "fax_number": "620-431-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201928",
            "telephone_number": "620-431-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1408 East St",
            "address_purpose": "LOCATION",
            "city": "Iola",
            "state": "KS",
            "postal_code": "667494402",
            "country_code": "US",
            "telephone_number": "620-365-3115",
            "fax_number": "620-365-7717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-32120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200435080A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebeccawatson@Neosho.CernerDirect.com",
            "affiliation": "N",
            "address_1": "629 S Plummer Ave",
            "city": "Chanute",
            "state": "KS",
            "country_code": "US",
            "postal_code": "667201928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "LOHMAN",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chanute, KS

Sources for this page

Verify at the official NPI Registry.