Whitney L Watson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

953276 Issued in AK

Practice address

12836 Old Glenn Hwy
Eagle River, AK 99577-7041

Phone

(907) 696-0123

Fax

(907) 694-0124

NPI assigned

Mar 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Whitney Lee Boneta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1376817718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12836 OLD GLENN HWY",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777041",
            "telephone_number": "907-696-0123",
            "fax_number": "907-696-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12836 OLD GLENN HWY",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777041",
            "telephone_number": "907-696-0123",
            "fax_number": "907-694-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "WHITNEY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": "953276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "BONETA",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Miller Wall, PHARMD
• Joel Richard Wallace, D.D.S.
• Walmart Inc. (Walmart Pharmacy 10-2188)
• Shelly Waltrip
• Jennifer Ann Watson, M.S. CCC-SLP
• Amy Weaver, M.S., CCC-SLP
• Richard Rodd Wehling
• Alexis Teresita Weiland, CCC-SLP
• Sjofn Cathleen Weisner, PHD
• Danielle Wellik, M.S., CCC-SLP

• Case Manager/Care Coordinator in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Case Manager/Care Coordinator in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.