Active NPI
Analise Renee Watson, DC
- Sports Physician Chiropractor
- Plano, TX
National Provider Identifier
1508619859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 15644
- Practice address
- 5055 W Park Blvd Ste 400
Plano, TX 75093-2590 - Phone
- (254) 466-4107
- NPI assigned
- Apr 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 15644 | TX | Primary |
Addresses
Primary practice location
5055 W Park Blvd Ste 400
Plano, TX 75093-2590
Mailing address
5501 Bovine Dr Apt 7108
Fort Worth, TX 76244-0017
Phone (254) 466-4107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15644 | TX | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1508619859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 BOVINE DR APT 7108",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762440017",
"telephone_number": "254-466-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 W PARK BLVD STE 400",
"city": "PLANO",
"state": "TX",
"postal_code": "750932590",
"telephone_number": "254-466-4107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "ANALISE",
"middle_name": "RENEE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-08",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "TX",
"license": "15644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.