Rebecca K Watkins, RPSGT, CCSH

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

49FW00037600 Issued in NJ

Practice address

110 E Jimmie Leeds Rd
Galloway, NJ 08205-9479

Phone

(609) 748-7900

Fax

(609) 748-7922

NPI assigned

Jan 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rebecca A Kelly Former name

Electronic endpoints 1

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": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1649810052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059479",
            "telephone_number": "609-748-7900",
            "fax_number": "609-748-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059479",
            "telephone_number": "609-748-7900",
            "fax_number": "609-748-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "REBECCA",
        "middle_name": "K",
        "credential": "RPSGT, CCSH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NJ",
            "license": "49FW00037600",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NJ",
            "license": "49FW00037600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "609-748-7922",
            "affiliation": "N",
            "endpointDescription": "Fax Number",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "110 E Jimmie Leeds Rd",
            "city": "Galloway",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082059479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "KELLY",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gina Marie Walk, NP-C
• Kathleen Walls
• Mohammad Waqas, FNP, PMHNP
• Susan B. Ward, M.D.
• Jamie Kristine Warren, NP
• Olivia Wattles
• Micah M Watts, MD
• Michael G. Welch, D.P.M.
• Donna Wess, MS, LCADC, LPC, ACS
• Cecilia West, APN

• All providers in Galloway, NJ
• Health Educator in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.