Individual provider Active NPI

Deborah L Watson, NP

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Phoenix, AZ
National Provider Identifier
1548458045
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
TAP2881 Issued in AZ
Practice address
3319 E Ashurst Dr
Phoenix, AZ 85048-7899
Phone
(480) 201-6980
Fax
(480) 219-9769
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X TAP2881 AZ Primary

Addresses

Primary practice location

3319 E Ashurst Dr
Phoenix, AZ 85048-7899

Mailing address

3319 E Ashurst Dr
Phoenix, AZ 85048-7899
Phone (480) 201-6980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071211000671 AZ Practitioner - Nurse Practitioner 8527157718 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TAP2881AZMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Recovery, LLC CurrentSince Jun 15, 2014 Accepting new patients
Partners in Recovery, LLC CurrentSince Jun 15, 2014 Accepting new patients
Partners in Recovery, LLC Current Accepting new patients
MH Health Center LLC Past Accepting new patients

Locations

924 N Country Club Dr
Mesa, AZ 85201
Phone (480) 696-3800

10240 N 31st Ave
Ste 200
Phoenix, AZ 85051
Phone (602) 395-1700

Interoperability endpoints

  • Direct secure messaging: deborah.watson.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1548458045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 E ASHURST DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487899",
            "telephone_number": "480-201-6980",
            "fax_number": "480-219-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 E ASHURST DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487899",
            "telephone_number": "480-201-6980",
            "fax_number": "480-219-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "AZ",
            "license": "TAP2881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.