Melinda Watts, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT3324 Issued in TX

Practice address

1936 North Street Hpe Complex
Nacogdoches, TX 75962-3703

Phone

(936) 468-1721

NPI assigned

Sep 7, 2016

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

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.

• Stephen F Austin State University Sports Medicine

  • Student Health Clinic/Center
  • Nacogdoches, TX
  • NPI 1063727048
  NPD (past)

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1508313677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CRESTVIEW DR",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751423501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 NORTH STREET HPE COMPLEX",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759623703",
            "telephone_number": "936-468-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "MELINDA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT3324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tess Walters, PA-C
• Aisha Ligon Warfield, APRN
• Warthan Dermatology Center
• Warthan Dermatology Nacogdoches PLLC
• T Lynn Warthan, MD
• Daniel Allison Weaver, D.D.S.,M.S
• Deana Marie Weaver
• Christy Michelle Webb, LMSW
• Andrea Sue Wenner, DO
• Melinda E. Wenner, DO

• Athletic Trainer in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.