Individual provider Active NPI

Jill Arnold Watson, NP

  • Nurse Practitioner
  • Garland, TX
National Provider Identifier
1467468587
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
630478 Issued in TX
Practice address
2300 Marie Curie Dr
Garland, TX 75042-5706
Phone
(972) 272-6561
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 630478 TX Primary

Addresses

Primary practice location

2300 Marie Curie Dr
Garland, TX 75042-5706

Mailing address

2809 San Felipe Dr
Denton, TX 76210-0351
Phone (214) 662-9893

Other identifiers 1

IdentifierTypeStateIssuer
630478OtherTXNURSE PRACTITIONERS

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
630478TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Em-1 Medical Services, PA Nurse Practitioner Past Accepting new patients
Texas Emergency Rooms Services, PA Past Accepting new patients
Texas Em-1 Medical Services PA Nurse Practitioner Past Accepting new patients
Texas Em-1 Medical Services, PA Nurse Practitioner Past Accepting new patients
Indelible Health & Wellness LLC Past Accepting new patients
Harold Wagner DO PA Past Accepting new patients
Shawnee Trail Emergency Physicians Past Accepting new patients

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467468587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 SAN FELIPE DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100351",
            "telephone_number": "214-662-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MARIE CURIE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425706",
            "telephone_number": "972-272-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JILL",
        "middle_name": "ARNOLD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "630478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONERS",
            "identifier": "630478",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.