Shannon Watson

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

Practice address

1061 Bayview St
Holly Hill, SC 29059-8583

Phone

(803) 971-0689

NPI assigned

Oct 19, 2015

Last updated

Oct 19, 2015By 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": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1689045429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 BAYVIEW ST",
            "city": "HOLLY HILL",
            "state": "SC",
            "postal_code": "290598583",
            "telephone_number": "803-971-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 BAYVIEW ST",
            "city": "HOLLY HILL",
            "state": "SC",
            "postal_code": "290598583",
            "telephone_number": "803-971-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth P Teague, RN
• Total Comfort Adult Daycare
• Tiffany Vogt, MSW
• Stacie Walling, RN
• Charles Wapner
• Whiplash Pain Center of Holly Hill
• Harold O Wilson, MA, REHAB COUNSELING

• Health Service Psychologist in Holly Hill, SC
• Providers in Holly Hill, SC by specialty
• Health Service Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.