Raymond Watson
Individual provider Active NPI Counselor · Hauula, HI
NPI 1851152268 · NPPES record last updated Jan 22, 2024
Key facts
- NPI
- 1851152268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- H01326837 (HI)
- Practice address
- 54-013 Haukoi PL
Hauula, HI 96717-9528 - Phone
- (808) 358-4498
- NPI assigned
- Jan 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H01326837 | HI | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | H01326837 | HI | Yes |
Addresses
Primary practice location
54-013 Haukoi PL
Hauula, HI 96717-9528
Mailing address
56-660 Kamehameha Hwy
Kahuku, HI 96731-2210
Phone (808) 222-1798
Other providers in Hauula, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.