Active NPI
Rebecca P Watkins
- Public Health or Welfare Agency
- Maryville, TN
National Provider Identifier
1629115019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- RN0000047263
- Practice address
- 1006 E Lamar Alexander Pkwy
Maryville, TN 37804-5132 - Phone
- (865) 983-4582
- Fax
- (865) 983-4574
- NPI assigned
- Feb 1, 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 |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | RN0000047263 | TN | Primary |
Addresses
Primary practice location
1006 E Lamar Alexander Pkwy
Maryville, TN 37804-5132
Mailing address
440 Defoe Cir
Maryville, TN 37804-2702
Phone (865) 984-6847
Other names 1
- Ms. Rebecca P Watkins
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 |
|---|---|---|---|
| RN0000047263 | TN | MD | Public Health or Welfare Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629115019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 DEFOE CIR",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378042702",
"telephone_number": "865-984-6847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 E LAMAR ALEXANDER PKWY",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378045132",
"telephone_number": "865-983-4582",
"fax_number": "865-983-4574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "REBECCA",
"middle_name": "P",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "TN",
"license": "RN0000047263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "WATKINS",
"middle_name": "P",
"prefix": "MS.",
"credential": "R.N.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.