Alvin Watson

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

License

6870096 Issued in MS

Practice address

630 Columbia St
Hattiesburg, MS 39401-2801

Phone

(601) 329-9346

NPI assigned

Sep 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811098361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 COLUMBIA ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394012801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 COLUMBIA ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394012801",
            "telephone_number": "601-329-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ALVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": "MS",
            "license": "6870096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Hensleigh Warren, DNP, CRNA
• Paula Province Warren, M.D.
• Elizabeth C Washburne, M.D.
• Joseph F Washburne, M.D.
• Jasmine T Washington, M.D.
• Amie Scott Watson, LMFT
• Samantha Maile Lorenzo Watson, MSW
• Anna E Watts
• Donna Jean Watts
• Thomas Dale Watts, CRNA

• Independent Duty Medical Technicians in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Independent Duty Medical Technicians in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.