Active NPI
Deborah L Watson, NP
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Phoenix, AZ
National Provider Identifier
1548458045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- TAP2881
- 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, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TAP2881 | AZ | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Recovery, LLC | Current | Accepting new patients | |
| Partners in Recovery, LLC | Current | 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
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.