Michael Watson, SF-IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

1713 County Road 717
Enterprise, AL 36330-6105

Phone

(334) 447-8023

NPI assigned

Aug 12, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1447669692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 COUNTY ROAD 717",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363306105",
            "telephone_number": "334-447-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 COUNTY ROAD 717",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363306105",
            "telephone_number": "334-447-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "SF-IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reginald B Walker, LPC
• Walter Lawrence MD PC
• Patricia Lynne Walters, MBCHB,MFOM,MRCGP
• Emma Ward
• Jennifer Warren, LPC
• Michelle Nicole Watson, FNP-BC
• Britni Nicole Weaver, PHARM.D.
• Joy Weaver
• Lynn Weeks, LPC
• West Surgical PA

• Independent Duty Corpsman in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Independent Duty Corpsman in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.