Individual provider Active NPI

Melissa A Watson, RN PSYCH

  • Adult Psychiatric/Mental Health Registered Nurse
  • Sedro Woolley, WA
National Provider Identifier
1699499319
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
61259305 Issued in WA
Practice address
7825 N Sound Dr
Sedro Woolley, WA 98284-7675
Phone
(360) 854-7400
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 61259305 WA Primary

Addresses

Primary practice location

7825 N Sound Dr
Sedro Woolley, WA 98284-7675

Mailing address

7825 N Sound Dr
Sedro Woolley, WA 98284-7675
Phone (360) 854-7400

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL securecomputer Telecare North Sound

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
61259305WAMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Mental Health Services of Washington Inc PastSince Oct 2, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1699499319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 N SOUND DR",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982847675",
            "telephone_number": "360-854-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 N SOUND DR",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982847675",
            "telephone_number": "360-854-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "RN PSYCH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "WA",
            "license": "61259305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "securecomputer",
            "affiliation": "Y",
            "affiliationName": "Telecare North Sound",
            "address_1": "7825 N Sound Dr",
            "city": "Sedro Woolley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982847675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.