Active NPI
Juan Watson
- Health Educator
- Columbus, OH
National Provider Identifier
1528845039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 169 E Livingston Ave
Columbus, OH 43215-5743 - Phone
- (614) 849-0200
- NPI assigned
- Sep 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
169 E Livingston Ave
Columbus, OH 43215-5743
Mailing address
4343 W 52ND St
Cleveland, OH 44144-2905
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultimate Senior Care LLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Home Instead Senior Care
- Home Health Agency
- Columbus, OH
- NPI 1275199960
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696032000000",
"number": "1528845039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4343 W 52ND ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441442905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 E LIVINGSTON AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432155743",
"telephone_number": "614-849-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "JUAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-30",
"certification_date": "2023-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.