Active NPI
Linda Lucky Watson X, RN
- Community Health Registered Nurse
- Scottsdale, AZ
National Provider Identifier
1396178992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN111928
- Practice address
- 11545 N Frank Lloyd Wright Blvd
Apt 2050
Scottsdale, AZ 85259-3141 - Phone
- (904) 945-5009
- NPI assigned
- Aug 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 246661-1 | NY | |
| Community Health Registered Nurse | 163WC1500X | RN111928 | AZ | Primary |
| General Practice Registered Nurse | 163WG0000X | RN111928 | AZ | |
| Home Health Registered Nurse | 163WH0200X | RN111928 | AZ |
Addresses
Primary practice location
11545 N Frank Lloyd Wright Blvd
Apt 2050
Scottsdale, AZ 85259-3141
Mailing address
11545 N Frank Lloyd Wright Boulavard
Apt 2050
Scottsdale, AZ 85259-2717
Phone (904) 945-5009
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZRN111928 | Other | AZ | ARIZONA REGISTERED NURSE LICENSE NUMBER AZ RN 111928 |
| 246661-1 | Other | NY | REGISTERED NIRSE LICENSE |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246661-1 | NY | MD | Case Management Registered Nurse |
| RN111928 | AZ | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1396178992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11545 N FRANK LLOYD WRIGHT BOULAVARD",
"address_2": "APT 2050",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852592717",
"telephone_number": "904-945-5009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11545 N FRANK LLOYD WRIGHT BLVD",
"address_2": "APT 2050",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852593141",
"telephone_number": "904-945-5009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "LINDA",
"middle_name": "LUCKY",
"name_prefix": "Ms.",
"name_suffix": "X",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-19",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "NY",
"license": "246661-1",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "AZ",
"license": "RN111928",
"primary": true
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "AZ",
"license": "RN111928",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "AZ",
"license": "RN111928",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA REGISTERED NURSE LICENSE NUMBER AZ RN 111928",
"identifier": "AZRN111928",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NIRSE LICENSE",
"identifier": "246661-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.