Teshonda Yvette Craven-Watkins, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN139958 Issued in AZ

Practice address

5728 W Milada Dr
Laveen, AZ 85339-5214

Phone

(585) 469-6767

NPI assigned

May 8, 2016

Last updated

May 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1462665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462665600000",
    "number": "1790131837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 W MILADA DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853395214",
            "telephone_number": "585-469-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 W MILADA DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853395214",
            "telephone_number": "585-469-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVEN-WATKINS",
        "first_name": "TESHONDA",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-08",
        "last_updated": "2016-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN139958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.