Ruben Watts, PSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

PSS-1049 Issued in LA

Practice address

216 Memphis St
Bogalusa, LA 70427-3844

Phone

(985) 735-0160

Fax

(985) 735-0970

NPI assigned

Jul 9, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Adapt Inc

  • Professional Counselor
  • Bogalusa, LA
  • NPI 1457695694
  NPD (past)

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1740027705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 MEMPHIS ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273844",
            "telephone_number": "985-735-0160",
            "fax_number": "985-735-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MEMPHIS ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273844",
            "telephone_number": "985-735-0160",
            "fax_number": "985-735-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "RUBEN",
        "name_prefix": "Mr.",
        "credential": "PSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "LA",
            "license": "PSS-1049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington St. Tammany Regional Medical Center
• Washington St. Tammany Regional Medical Center
• Washington St. Tammany Regional Medical Center
• Washington Wound Care LLC
• Toshia Nicole Washington, R.N.
• Jordan Weinberger
• Lynette A Wesley, SLP
• Mason Eric Westmoreland, RPH
• Karlie Michele Wheat
• Rebecca Rose Whitmore, PHARM D.

• Peer Specialist in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Peer Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.