Active NPI
Lamiya Laverne Watts, RN
- Addiction (Substance Use Disorder) Registered Nurse
- Jackson, MS
National Provider Identifier
1801618392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- 925064
- Practice address
- 1935 Lakeland Dr
Jackson, MS 39216-5028 - Phone
- (601) 718-2468
- Fax
- (601) 718-2487
- NPI assigned
- Oct 28, 2024
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 925064 | MS | Primary |
Addresses
Primary practice location
1935 Lakeland Dr
Jackson, MS 39216-5028
Mailing address
1935 Lakeland Dr
Jackson, MS 39216-5028
Phone (601) 718-2468
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 925064 | MS | MD | Addiction (Substance Use Disorder) Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1801618392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 LAKELAND DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392165028",
"telephone_number": "601-718-2468",
"fax_number": "601-718-2487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 LAKELAND DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392165028",
"telephone_number": "601-718-2468",
"fax_number": "601-718-2487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "LAMIYA",
"middle_name": "LAVERNE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-28",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "MS",
"license": "925064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
- Walker Ledyard Watters II
- Beth Ann Wattigny, PHARM.D.
- Caroline D Watts
- Jessica Denise Watts
- Jordan Colbert Watts
- Thresa Kaye Watts, FNP
- Waverley Health Care Consultants, Inc. (Health Care Consultants)
- Kristine Way, LICSW
- WBF Choice Healthcare, Inc
- WC Enterprise and Services (WC Professional Transit)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.