Individual provider Active NPI

Alisha Deann Watson, FNP

  • Family Nurse Practitioner
  • Eastland, TX
National Provider Identifier
1730719352
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144720 Issued in TX
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

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Eastland Memorial Hospital DistrictGroup PAC ID 3072412725, 7 clinicians

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 Home health agency, Eastland, TX, CCN 457128
  • Eastland Memorial Hospital Hospital, Eastland, TX, CCN 671303
  • Eastland Memorial Hospital Hospital, Eastland, TX, CCN 450411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastland Memorial Hospital District CurrentSince Feb 24, 2020 Accepting new patients
Eastland Memorial Hospital District CurrentSince Feb 24, 2020 Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
Eastland Memorial Hospital District PastSince May 24, 2020 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.