Thomas L Watterson, SLP / PHD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP142 Issued in NV

Practice address

1664 N Virginia St
Mail Stop 152, Redfield Medical BLDG.
Reno, NV 89557-0152

Phone

(775) 784-4887

Fax

(775) 784-4095

NPI assigned

Dec 1, 2005

Last updated

Jun 5, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Care Services LLC

  dba Community Care Services

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1720031768
  Medicare reassignment Care Compare group NPD
• Community Care Services LLC

  dba Renown Radiology

  • Diagnostic Radiology Physician
  • Reno, NV
  • NPI 1053272989
  NPD
• Community Care Services LLC

  dba Renown Rheumatology

  • Rheumatology Physician
  • Reno, NV
  • NPI 1194296632
  NPD
• Renown Medical School Associates North, Inc.

  dba MEDSchool Associates, North

  • Family Medicine Physician
  • Reno, NV
  • NPI 1184761876
  NPD
• Renown Medical School Associates North, Inc.

  dba University Health Speech Pathology and Audiology

  • Speech-Language Pathologist
  • Reno, NV
  • NPI 1285129056
  NPD
• Renown Medical School Associates North, Inc.

  • Family Medicine Physician
  • Reno, NV
  • NPI 1992842660
  NPD
• Community Care Services LLC

  dba Renown Medical Group Pulmonary Medicine

  • Pulmonary Disease Physician
  • Reno, NV
  • NPI 1457822132
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1396729661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 N VIRGINIA ST",
            "address_2": "MAIL STOP 152, REDFIELD MEDICAL BLDG.",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895570152",
            "telephone_number": "775-784-4887",
            "fax_number": "775-784-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 N VIRGINIA ST",
            "address_2": "MAIL STOP 152, REDFIELD MEDICAL BLDG.",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895570152",
            "telephone_number": "775-784-4887",
            "fax_number": "775-784-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTERSON",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "SLP / PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN#",
            "identifier": "CZ656Y",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507284",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Watson, LMSW
• Lynette Sue Watson
• Robert W Watson II, M.D.
• Taryn M Watson
• Jacqueline Alyse Watt, MS, CCC-SLP
• Cecelia Janet Watts, LPN
• Chad D Watts, MD
• Penny Lea Watts
• Haillee Waugh
• Kaillee Waugh

• Speech-Language Pathologist in Reno, NV
• Providers in Reno, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.