Jaci Watson, MOT

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

5472 Issued in AZ

Practice address

505 Jacks Canyon Rd
Sedona, AZ 86351-7856

Phone

(928) 284-1000

NPI assigned

Nov 27, 2012

Last updated

May 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1548505894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "KEYSTONE",
            "state": "SD",
            "postal_code": "577510124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 JACKS CANYON RD",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863517856",
            "telephone_number": "928-284-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JACI",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "5302",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SD",
            "license": "144A",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "AZ",
            "license": "5472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Leigh Walker, ATC
• Kathryn Wallskog, DC
• Steven Merritt Wanderman, MD FAAOS
• Warren M. Zeitlin, MDPC (Sedona Cardiology Center)
• Christopher Warren
• Erienne Weine, PH.D.
• Jerry Edward Wesch, PH.D.
• Jason Allen Wesley, M.D.
• West Sedona Family Practice PLLC
• Kirk Wells Westervelt, DMD

• Gerontology Occupational Therapist in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Gerontology Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.