Individual provider Active NPI

Jacquelyn Watson, RT

  • Registered Respiratory Therapist
  • Livingston, TN
National Provider Identifier
1740997642
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
7594 Issued in TN
Practice address
102 W Court SQ
Livingston, TN 38570-1882
Phone
(931) 280-8202
Fax
(615) 691-7141
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 7594 TN Primary

Addresses

Primary practice location

102 W Court SQ
Livingston, TN 38570-1882

Mailing address

102 W Court SQ
Livingston, TN 38570-1882
Phone (931) 280-8202

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

State licenses

LicenseStateTypeSpecialty
7594TNMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eventa LLC CurrentSince Nov 6, 2022 Accepting new patients

Locations

102 W Court Sq
Livingston, TN 38570
Phone (833) 887-2919

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1740997642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W COURT SQ",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701882",
            "telephone_number": "931-280-8202",
            "fax_number": "615-691-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W COURT SQ",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701882",
            "telephone_number": "931-280-8202",
            "fax_number": "615-691-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JACQUELYN",
        "credential": "RT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "TN",
            "license": "7594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.