Tyler John Watson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN61578028 Issued in WA

Practice address

307 W Cota St
Shelton, WA 98584-2265

Phone

(360) 205-8003

NPI assigned

Nov 4, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1508689928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 CALDER RD",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985419314",
            "telephone_number": "360-441-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W COTA ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842265",
            "telephone_number": "360-205-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TYLER",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61578028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Rose Walther, L.M.P.
• Paul J Warren, SUDPT
• Washington State Department of Corrections Washington Corrections Cent
• Julie A Waters, REGISTERED NURSE
• Robert Ryan Watson
• Jennifer Joanne Watters, LMP
• Allie Watts, PHARM.D.
• Lindsey J Watts, LMHC
• Cathay Irene Webb, LMFT
• Timothy Weber, MD

• Registered Nurse in Shelton, WA
• Providers in Shelton, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.