Tanekqua Watts

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

811 Watts Ave
Myrtle Beach, SC 29577-3436

Phone

(843) 593-2191

NPI assigned

Sep 27, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1443312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443312000000",
    "number": "1770953226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 WATTS AVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773436",
            "telephone_number": "843-593-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 WATTS AVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773436",
            "telephone_number": "843-593-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "TANEKQUA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-27",
        "last_updated": "2015-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Wesley Watson, M.D.
• Elizabeth Jane Watson, FNP-C
• Heber J Watson III, DO
• Jerry E Watson, MD
• Ashleigh Mildred Watts, SLP-CF
• We Care for Elders and More
• Christina Nichole Weatherford, FNP-C
• Michael Shannon Weatherford, D.C.
• Karl Weber, CNP
• Jeffrey Thomas Weeden, P.A.

• Non-emergency Medical Transport (VAN) in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Non-emergency Medical Transport (VAN) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2015; 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.