Jenna Colleen Watson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5366 Eastern Ave SE
Kentwood, MI 49508-6018

Phone

(616) 608-3665

NPI assigned

Sep 11, 2017

Last updated

Sep 11, 2017By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1659890614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 HERBEY ST",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882422",
            "telephone_number": "17348377364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5366 EASTERN AVE SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086018",
            "telephone_number": "616-608-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JENNA",
        "middle_name": "COLLEEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kathleen Walker
• Westbrook Arthur Walker II, LLMSW
• Holly A Walstra, MA, CCC-SLP
• Nichole Elizabeth Washington, FNP-BC
• Britney Watkins
• Lynn Weaver
• Jason Weber, BEHAVIOR TECHNICIAN
• Norman A Weber, DO
• Linda Webster
• Sydney Page Weiler

• Behavior Technician in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; 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.