Active NPI
Dietra Watson
- Continuing Education/Staff Development Registered Nurse
- Cincinnati, OH
National Provider Identifier
1699431718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Continuing Education/Staff Development Registered Nurse
- License
- RN314810
- Practice address
- 3200 Vine St
Cincinnati, OH 45220-2213 - Phone
- (513) 885-0309
- NPI assigned
- Nov 12, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | RN314810 | OH | Primary |
Addresses
Primary practice location
3200 Vine St
Cincinnati, OH 45220-2213
Mailing address
3974 Ashmont Dr
Erlanger, KY 41018-2976
Phone (513) 885-0309
Other practice location 1
4185 Logistics Ave # Areaa
Dayton, OH 45433-5768
Phone (513) 885-0309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36-486108 | Other | OH | CONSULTATION |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN314810 | OH | MD | Continuing Education/Staff Development Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1699431718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3974 ASHMONT DR",
"city": "ERLANGER",
"state": "KY",
"postal_code": "410182976",
"telephone_number": "513-885-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 VINE ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202213",
"telephone_number": "513-885-0309"
}
],
"practiceLocations": [
{
"address_1": "4185 Logistics Ave # Areaa",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454335768",
"country_code": "US",
"telephone_number": "513-885-0309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATSON",
"first_name": "DIETRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-12",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "OH",
"license": "RN314810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONSULTATION",
"identifier": "36-486108",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.