Jerome Watson LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

JEROME WATSON LLC

Practice address

7209 Goldfinch Rd
Texarkana, TX 75501-0227

Phone

(903) 334-8132

NPI assigned

Mar 3, 2009

Organization subpart

No

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

Authorized official

Name

Jerome Watson, APRNNPI 1538162045

Title

Sole Member

Phone

(903) 334-8132

Specialties & licenses 1

Addresses

Other names 1

• Jerome Watson LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX, AR2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerome Bradfield Watson, GNP

  • Nurse Practitioner
  • Texarkana, TX
  • NPI 1538162045

  AR

  Medicare reassignment NPD Authorized official
• Marla Kay English-Pickett, GNP

  • Nurse Practitioner
  • Texarkana, TX
  • NPI 1013163013
  NPD (past)

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1477793479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7209 GOLDFINCH RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755010227",
            "telephone_number": "903-334-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7209 GOLDFINCH RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755010227",
            "telephone_number": "903-334-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME WATSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "903-334-8132",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jerome Watson LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jerome Watson LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kacey D Jenkins
• Kendall Jenkins
• Chad Allen Jennings, MS,OTR
• Cindy Jennings, MSCCCSLP
• Martha Jennings, PT
• John M Strayhorn MD PA
• Johns Family Chiropractic Corp
• Randall Johns, DC
• Jenisa Johnson-Keener
• Angela S Johnson, RN, CNOR, RNFA

• Nurse Practitioner in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.