Active NPI
Danielle Marie Watson, LMP
- Specialist
- Moscow, ID
National Provider Identifier
1346689783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MAS-161
- Practice address
- 619 S Washington St
Ste 202
Moscow, ID 83843-3090 - Phone
- (208) 882-8534
- NPI assigned
- Jun 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MAS-161 | ID | Primary |
Addresses
Primary practice location
619 S Washington St
Ste 202
Moscow, ID 83843-3090
Mailing address
619 S Washington St
Ste 202
Moscow, ID 83843-3090
Phone (208) 882-8534
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 |
|---|---|---|---|
| MAS-161 | ID | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lotus Transformations, LLC | Current | Accepting new patients |
Locations
619 S Washington St
Ste 202
Moscow, ID 83843
Phone (208) 310-3470
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.
-
- Massage Therapist
- Moscow, ID
- NPI 1417663675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1346689783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 S WASHINGTON ST",
"address_2": "STE 202",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838433090",
"telephone_number": "208-882-8534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 S WASHINGTON ST",
"address_2": "STE 202",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838433090",
"telephone_number": "208-882-8534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "DANIELLE",
"middle_name": "MARIE",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-19",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ID",
"license": "MAS-161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.