Michael Alexander Watson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

6843 NW Willow Springs Dr
1211 SW F Ave
Lawton, OK 73505-4251

Phone

(580) 230-6693

NPI assigned

Jun 10, 2016

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

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1740639780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6843 NW WILLOW SPRINGS DR",
            "address_2": "1211 SW F AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735054251",
            "telephone_number": "580-230-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6843 NW WILLOW SPRINGS DR",
            "address_2": "1211 SW F AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735054251",
            "telephone_number": "580-230-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MICHAEL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Andre Waters
• Amanda Watkins, ATC
• Janice Watkins
• Leonor Watkins, P.T.
• Rachel Lea Watkins
• Prudunce Nechelle Watson, MS, LMFT
• Bethany Brooke Watts, BA
• Skylyn Watts
• Wavel L. Wells, DDS, Inc
• Wayne a Johnson MD PC

• All providers in Lawton, OK
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.