Makayla Elani Watson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

528692 Issued in MN

Practice address

6887 Pine Crest TRL S
Cottage Grove, MN 55016-4572

Phone

(951) 491-1791

NPI assigned

Aug 24, 2023

Last updated

Mar 17, 2026By 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

Other names 1

• Makayla Elani Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• The Madison Center

  • Speech-Language Pathologist
  • Excelsior, MN
  • NPI 1083832158
  NPD

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1699559120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75100 MEDITERRANEAN",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922119069",
            "telephone_number": "888-439-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6887 PINE CREST TRL S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164572",
            "telephone_number": "951-491-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MAKAYLA",
        "middle_name": "ELANI",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "528692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAKAYLA",
            "last_name": "DAVIS",
            "middle_name": "ELANI",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennie Walby
• Thomas W Waldron, D.D.S.
• Walgreen Co (Walgreens #06057)
• Walmart Inc. (Walmart Pharmacy 10-2448)
• Jane Wang, RPH
• Mark Alan Wayer
• Nolan Weber, DPT
• Gerard John Weingartner, DDS
• Welcome Hands LLC
• Ramona L Westerberg, NCTMB

• Speech-Language Pathologist in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.