Irene Marie Watkins

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

62087 Issued in MD

Practice address

6250 Columbia Crossing Cir # 4
Columbia, MD 21045-8010

Phone

(240) 706-7824

NPI assigned

Jul 7, 2020

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Imkelleyllc

  • Durable Medical Equipment & Medical Supplies
  • Columbia, MD
  • NPI 1164267167
  NPD Authorized official

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1497373492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N WASHINGTON ST APT 237",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501760",
            "telephone_number": "301-613-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 COLUMBIA CROSSING CIR # 4",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210458010",
            "telephone_number": "240-706-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "IRENE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "MD",
            "license": "62087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Lucretia Waters
• Javonte Watford
• Aenilah Watkins
• Asia Monielle Watkins
• Carrita Watkins, RBT
• Victoria Louise Watkins
• Nikki Lauren Watkinson, BSN,RN
• Emily Watson
• Kaylah Watson
• Madison Elizabeth Watson

• Prosthetics Case Management in Columbia, MD
• Providers in Columbia, MD by specialty
• Prosthetics Case Management in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.