Active NPI
Katherine Heather Watson, MA CCC-SLP
- Speech-Language Pathologist
- Madisonville, TN
National Provider Identifier
1477087344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0000003622
- Practice address
- 465 Isbill Rd
Madisonville, TN 37354-2112 - Phone
- (423) 442-3990
- NPI assigned
- Apr 17, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0000003622 | TN | Primary |
Addresses
Primary practice location
465 Isbill Rd
Madisonville, TN 37354-2112
Mailing address
191 W Park Cir
Decatur, TN 37322-5901
Phone (423) 333-9100
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000003622 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492387200000",
"number": "1477087344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 W PARK CIR",
"city": "DECATUR",
"state": "TN",
"postal_code": "373225901",
"telephone_number": "423-333-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 ISBILL RD",
"city": "MADISONVILLE",
"state": "TN",
"postal_code": "373542112",
"telephone_number": "423-442-3990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "KATHERINE",
"middle_name": "HEATHER",
"name_prefix": "Mrs.",
"credential": "MA CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-17",
"last_updated": "2017-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "0000003622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madisonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.