Nancy Bumgarner Watson

Primary specialty

Orthotic FitterTaxonomy code 225000000X

Practice address

1920 W Park Dr
North Wilkesboro, NC 28659-3563

Phone

(336) 838-8988

Fax

(336) 838-1711

NPI assigned

Oct 25, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1780984799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 W PARK DR",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593563",
            "telephone_number": "336-838-8988",
            "fax_number": "336-838-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 W PARK DR",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593563",
            "telephone_number": "336-838-8988",
            "fax_number": "336-838-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "NANCY",
        "middle_name": "BUMGARNER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0975432",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Cornwell Walker, CRNA
• Stephanie Lynn Walker, NP-C
• Carolina Renee Walsh
• Barbara E. Warren, LCSW
• William Lyle Watkins, MD
• Clara Loiuse Watts, MT
• Hope Watts, M.D.
• Kimberly Dawn Welborn I, MA, ED.S, LPC
• Laura Eckles Welborn, LCAS
• James E. Westbrook, P.A.

• Orthotic Fitter in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Orthotic Fitter in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.