Active NPI
Collette Webster-Watson, PA
- Physician Assistant
- Bradenton, FL
National Provider Identifier
1851306203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9102325
- Practice address
- 6002 Pointe West Blvd
Bradenton, FL 34209-5531 - Phone
- (941) 792-2020
- Fax
- (941) 782-1089
- NPI assigned
- Jul 31, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9102325 | FL | Primary |
Addresses
Primary practice location
6002 Pointe West Blvd
Bradenton, FL 34209-5531
Mailing address
6002 Pointe West Blvd
Bradenton, FL 34209-5531
Phone (941) 792-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291793900 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9102325 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1851306203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6002 POINTE WEST BLVD",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342095531",
"telephone_number": "941-792-2020",
"fax_number": "941-782-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6002 POINTE WEST BLVD",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342095531",
"telephone_number": "941-792-2020",
"fax_number": "941-782-1089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER-WATSON",
"first_name": "COLLETTE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9102325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "291793900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.