Active NPI
Kathleen V Watson, MD
- Internal Medicine Physician
- Minneapolis, MN
National Provider Identifier
1528138450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25764
- Practice address
- Univerisity of Minnesota Physicians
516 Delaware Street SE, Clinic 3a
Minneapolis, MN 55455 - Phone
- (612) 884-0999
- NPI assigned
- Nov 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25764 | MN | Primary |
| Hematology (Internal Medicine) Physician | 207RH0000X | 25764 | MN |
Addresses
Primary practice location
Univerisity of Minnesota Physicians
516 Delaware Street SE, Clinic 3a
Minneapolis, MN 55455
Mailing address
Univerisity of Minnesota Physicians
420 Delaware Street SE, MMC 741
Minneapolis, MN 55455
Phone (612) 884-0999
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 737872600 | Medicaid | MN | |
| 1000062 | Other | PREFERREDONE | |
| 0402803 | Other | MEDICA - PRIMARY | |
| 0402804 | Other | MEDICA - CHOICE | |
| 768402 | Other | ARAZ | |
| 101529 | Other | UCARE | |
| 2T190WA | Other | BLUE CROSS BLUE SHIELD | |
| HP22152 | Other | HEALTHPARTNERS | |
| 0500611 | Medicaid | IA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1528138450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERISITY OF MINNESOTA PHYSICIANS",
"address_2": "420 DELAWARE STREET SE, MMC 741",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-884-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERISITY OF MINNESOTA PHYSICIANS",
"address_2": "516 DELAWARE STREET SE, CLINIC 3A",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-884-0999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "KATHLEEN",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "25764",
"primary": true
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "MN",
"license": "25764",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "737872600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE",
"identifier": "1000062",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA - PRIMARY",
"identifier": "0402803",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA - CHOICE",
"identifier": "0402804",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "768402",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "101529",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2T190WA",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP22152",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0500611",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.