Kimberly McRaney Watson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00418 Issued in MS

Practice address

907 Oakhill Cir
Clinton, MS 39056-3743

Phone

(601) 941-3183

NPI assigned

Dec 6, 2019

Last updated

Dec 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1477190668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 OAKHILL CIR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563743",
            "telephone_number": "601-941-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 OAKHILL CIR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563743",
            "telephone_number": "601-941-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KIMBERLY",
        "middle_name": "MCRANEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy O'Neil Walters, D.P.T.
• Ashley Washington
• Dearon Washington, LPC
• Kimberly Washington, PT, DPT
• Mickala S Washington
• Wecare Therapy Services
• Melinda A Weisenberger, AT
• David Brice Wheat, MD
• Mary Wheatley, M.D.
• Kimberly Wheaton Middleton, LCSW

• Physician Assistant in Clinton, MS
• Providers in Clinton, MS by specialty
• Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.