Active NPI
Emma Jean Watson, MD BUSINESS ADMINSTR
- Counselor
- Las Vegas, NV
National Provider Identifier
1780020016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3750 East Bonanza Rd Unit 155
Las Vegas, NV 89110 - Phone
- (702) 756-4755
- NPI assigned
- May 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3750 East Bonanza Rd Unit 155
Las Vegas, NV 89110
Mailing address
3750 E Bonanza Rd Unit155
Las Vegas, CLARK 89110
UM
Phone (702) 756-4755
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1780020016",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "3750 E BONANZA RD UNIT155",
"city": "LAS VEGAS",
"state": "CLARK",
"postal_code": "89110",
"telephone_number": "702-756-4755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 EAST BONANZA RD UNIT 155",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89110",
"telephone_number": "702-756-4755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "EMMA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "MD BUSINESS ADMINSTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-14",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.