Ciera Watson
Individual provider Active NPI Community Health Worker · Hawthorne, FL
NPI 1629427232 · NPPES record last updated Jun 6, 2016
Key facts
- NPI
- 1629427232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 21406 SE 69TH Ave
Hawthorne, FL 32640-3935 - Phone
- (352) 281-5649
- NPI assigned
- Jun 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
21406 SE 69TH Ave
Hawthorne, FL 32640-3935
Mailing address
PO Box 212
Hawthorne, FL 32640-0212
Phone (352) 281-5649
Other providers in Hawthorne, FL
- Kristen Tiurchy
- David Martin Trax
- Olivett D Underwood-Mobley
- Rhondda Faye Waddell
- Shannon Wadey
- Fred Ashley White
- Cassandra Whitehead
- Nicholas Woods
All providers in Hawthorne, FL · Community Health Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.