Active NPI
Danielle M Watters, MS, ACSM-CEP
- Clinical Exercise Physiologist
- Vernon, CT
National Provider Identifier
1407555774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- Practice address
- 31 Union St
Vernon, CT 06066-3126 - Phone
- (860) 872-5157
- NPI assigned
- Feb 27, 2023
- Last updated
- Feb 27, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Exercise Physiologist | 224Y00000X | NU | Primary |
Addresses
Primary practice location
31 Union St
Vernon, CT 06066-3126
Mailing address
393 Linwood Cemetery Rd
Colchester, CT 06415-1149
Phone (860) 301-2288
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1407555774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 LINWOOD CEMETERY RD",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "064151149",
"telephone_number": "860-301-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 UNION ST",
"city": "VERNON",
"state": "CT",
"postal_code": "060663126",
"telephone_number": "860-872-5157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTERS",
"first_name": "DANIELLE",
"middle_name": "M",
"credential": "MS, ACSM-CEP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.