Individual provider Active NPI

Danielle Marie Watson, LMP

  • Specialist
  • Moscow, ID
National Provider Identifier
1346689783
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MAS-161 Issued in ID
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

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MAS-161IDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.