Active NPI
Demaris F Watson
- Driver
- Anderson, IN
National Provider Identifier
1801114913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 1560070426
- Practice address
- 332 Central Ave
Anderson, IN 46012 - Phone
- (317) 627-3824
- NPI assigned
- May 13, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Driver | 172A00000X | 1560070426 | IN | Primary |
Addresses
Primary practice location
332 Central Ave
Anderson, IN 46012
Mailing address
332 Central Ave
Anderson, IN 46012
Phone (317) 627-3824
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1560070426 | IN | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1801114913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 CENTRAL AVE",
"city": "ANDERSON",
"state": "IN",
"postal_code": "46012",
"telephone_number": "317-627-3824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 CENTRAL AVE",
"city": "ANDERSON",
"state": "IN",
"postal_code": "46012",
"telephone_number": "317-627-3824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "DEMARIS",
"middle_name": "F",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-13",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "IN",
"license": "1560070426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.