Organization Active NPI

Watson Integrated Family Medicine

  • Integrative Medicine Physician
  • St Johnsbury, VT
National Provider Identifier
1699510875
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
Legal business name
WATSON INTEGRATED FAMILY MEDICINE
Practice address
2000 Memorial Dr Ste 4
St Johnsbury, VT 05819-8320
Phone
(802) 318-4768
Fax
(802) 424-1163
NPI assigned
Jun 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Sabine Integrated Family Watson, APRNNPI 1740681642
Title
Provider
Phone
(802) 318-4768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202D00000X Primary

Addresses

Primary practice location

2000 Memorial Dr Ste 4
St Johnsbury, VT 05819-8320

Mailing address

2000 Memorial Dr Ste 4
St Johnsbury, VT 05819-8320
Phone (802) 318-4768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240717003425 VT Part B Supplier - Clinic/Group Practice 9739624495 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Johnsbury, VT; St Johnsbury, VT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D2317647Sabine Watson Watson Integrated Family Medicine2000 Memorial Dr, Ste 4, Saint Johnsbury, VT 05819Certificate of waiverJan 28, 2027

National Provider Directory

National Provider Directory

Locations

2000 Memorial Dr
Ste 4
St Johnsbury, VT 05819
Phone (802) 318-4768

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEEJDD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1699510875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEMORIAL DR STE 4",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058198320",
            "telephone_number": "802-318-4768",
            "fax_number": "802-424-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEMORIAL DR STE 4",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058198320",
            "telephone_number": "802-318-4768",
            "fax_number": "802-424-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON INTEGRATED FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "SABINE",
        "authorized_official_middle_name": "INTEGRATED FAMILY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "802-318-4768",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.