Active NPI
Cammi L Watson, PA-C
- Physician Assistant
- Charleston, WV
National Provider Identifier
1689706806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 01228
- Practice address
- 415 Morris Street
Suite 201
Charleston, WV 25301 - Phone
- (304) 388-7700
- Fax
- (304) 388-7755
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 01228 | WV | Primary |
Addresses
Primary practice location
415 Morris Street
Suite 201
Charleston, WV 25301
Mailing address
415 Morris Street
Ste 304
Charleston, WV 25301
Phone (304) 388-7782
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01228 | WV | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1689706806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 MORRIS STREET",
"address_2": "STE 304",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25301",
"telephone_number": "304-388-7782",
"fax_number": "304-388-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 MORRIS STREET",
"address_2": "SUITE 201",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25301",
"telephone_number": "304-388-7700",
"fax_number": "304-388-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "CAMMI",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "01228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.