Denecia Dodson Watson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12683 Issued in TX

Practice address

303 W Knox St
Ennis, TX 75119-3966

Phone

(972) 872-3857

NPI assigned

Nov 17, 2021

Last updated

Oct 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

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": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1861159527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1831",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "780031831",
            "telephone_number": "936-635-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W KNOX ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751193966",
            "telephone_number": "972-872-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "DENECIA",
        "middle_name": "DODSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "104270",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "12683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF CLINICAL COMPETENCY - CCC-SLP",
            "identifier": "01027003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "12683",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ennis",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "235Z00000X",
            "address_1": "303 W Knox St",
            "city": "Ennis",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751193966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vop Ennis, LLC (Ennis Pointe Senior Living)
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0286)
• Wal-Mart Stores Texas, LP (Vision Center 30-0286)
• Walgreen Co (Walgreens #09448)
• Adell Ann Elizabeth Walters, OD
• Gladys Regina Whaley, RPH
• Bryan Keith White, M.D.
• Kevin Alexander Williams, MD
• Victoria Williams, RN
• John N Willms, RPH

• Speech-Language Pathologist in Ennis, TX
• Providers in Ennis, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.