Bobbi Jo Watson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP12798 Issued in OH

Practice address

5633 Tylersville Rd Ste B5633
Mason, OH 45040-2533

Phone

(513) 622-9595

NPI assigned

Dec 6, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Comprehensive Geriatric Care, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Oakwood, OH
  • NPI 1598945230
  NPD (past)

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1497023477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5633 TYLERSVILLE RD STE B",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402533",
            "telephone_number": "513-622-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 TYLERSVILLE RD STE B5633",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402533",
            "telephone_number": "513-622-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "BOBBI",
        "middle_name": "JO",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP12798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069531",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Ware, BCBA
• Keri Washington
• Marcus A Washington Sr., MD
• Lydia Jean Wasserbauer, LPC
• Water and Spirit Midwifery LLC
• Courtney Way, RBT
• Jennifer Weaver, MSW, LISW-S
• Jennifer Ann Webb
• Dianne Leslie Webber
• Morgan Weber

• Family Nurse Practitioner in Mason, OH
• Providers in Mason, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.