Active NPI
Alisha Deann Watson, FNP
- Family Nurse Practitioner
- Eastland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP144720
- Practice address
- 304 S Daugherty Ave
Eastland, TX 76448-2609 - Phone
- (254) 629-2601
- NPI assigned
- Jan 23, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP144720 | TX | Primary |
Addresses
Primary practice location
304 S Daugherty Ave
Eastland, TX 76448-2609
Mailing address
200 Walnut St
Ranger, TX 76470-2054
Phone (254) 647-1182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200320002096 | TX | Practitioner - Nurse Practitioner | 6002244225 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2314 W Commerce St
Eastland, TX 76448-2278
Phone (254) 629-5001
304 S Daugherty Ave
Eastland, TX 76448-2609
Phone (254) 631-5342
304 S Daugherty St
Eastland, TX 76448-2609
Hospital & facility affiliations
- Centerwell Home Health
- Eastland Memorial Hospital
- Eastland Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastland Memorial Hospital District | Current | Accepting new patients | |
| Eastland Memorial Hospital District | Current | Accepting new patients | |
| Eastland Memorial Hospital District | Past | Accepting new patients | |
| Eastland Memorial Hospital District | Past | Accepting new patients |
Locations
304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601
200 Walnut St
Ranger, TX 76470
Phone (254) 631-5342
Organizations & group practices 4
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.
-
- Skilled Nursing Facility
- Rowlett, TX
- NPI 1679117154
-
- Skilled Nursing Facility
- Abilene, TX
- NPI 1417259490
-
- Rural Health Clinic/Center
- Ranger, TX
- NPI 1760005953
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Eastland, TX
- NPI 1326057779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1730719352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WALNUT ST",
"city": "RANGER",
"state": "TX",
"postal_code": "764702054",
"telephone_number": "254-647-1182",
"fax_number": "254-647-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 S DAUGHERTY AVE",
"city": "EASTLAND",
"state": "TX",
"postal_code": "764482609",
"telephone_number": "254-629-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "ALISHA",
"middle_name": "DEANN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-23",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP144720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eastland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.