Active NPI
Paige Shawntia Watkins
- Technician/Technologist
- Bingham Farms, MI
National Provider Identifier
1538735428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- W325676765881
- Practice address
- 32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454 - Phone
- (248) 712-4266
- NPI assigned
- Jun 1, 2021
- 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 |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | W325676765881 | MI | Primary |
Addresses
Primary practice location
32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454
Mailing address
15300 Oak Park Blvd
Oak Park, MI 48237-4204
Phone (313) 598-4280
Other practice location 1
15300 Oak Park Blvd
Oak Park, MI 48237-4204
Phone (313) 598-4280
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 |
|---|---|---|---|
| W325676765881 | MI | MD | Technician/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1538735428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15300 OAK PARK BLVD",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482374204",
"telephone_number": "313-598-4280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32100 TELEGRAPH RD STE 205",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480252454",
"telephone_number": "248-712-4266"
}
],
"practiceLocations": [
{
"address_1": "15300 Oak Park Blvd",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "MI",
"postal_code": "482374204",
"country_code": "US",
"telephone_number": "313-598-4280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATKINS",
"first_name": "PAIGE",
"middle_name": "SHAWNTIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "MI",
"license": "W325676765881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.