Active NPI
Eddie C Watkins
- Reflexologist
- Cambridge, MA
National Provider Identifier
1679809883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- Practice address
- 1158 Massachusetts Ave
307
Cambridge, MA 02138-5205 - Phone
- (617) 412-9169
- NPI assigned
- Oct 22, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Reflexologist | 173C00000X | Primary |
Addresses
Primary practice location
1158 Massachusetts Ave
307
Cambridge, MA 02138-5205
Mailing address
1158 Massachusetts Ave
307
Cambridge, MA 02138-5205
Phone (617) 412-9169
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256169600000",
"number": "1679809883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1158 MASSACHUSETTS AVE",
"address_2": "307",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385205",
"telephone_number": "617-412-9169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1158 MASSACHUSETTS AVE",
"address_2": "307",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385205",
"telephone_number": "617-412-9169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "EDDIE",
"middle_name": "C",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-22",
"last_updated": "2009-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.