Active NPI
Darlene Lynnette Watson, BS
- Other Technician
- Grand Blanc, MI
National Provider Identifier
1710200977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- W 325 135 564 437
- Practice address
- 5411 Country Club LN
Grand Blanc, MI 48439-9179 - Phone
- (989) 777-8570
- Fax
- (989) 777-8620
- NPI assigned
- Mar 2, 2010
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | W 325 135 564 437 | MI | Primary |
Addresses
Primary practice location
5411 Country Club LN
Grand Blanc, MI 48439-9179
Mailing address
5411 Country Club LN
Grand Blanc, MI 48439-9179
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W 325 135 564 437 | MI | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1710200977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5411 COUNTRY CLUB LN",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484399179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5411 COUNTRY CLUB LN",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484399179",
"telephone_number": "989-777-8570",
"fax_number": "989-777-8620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "DARLENE",
"middle_name": "LYNNETTE",
"name_prefix": "Mrs.",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-02",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": "W 325 135 564 437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.