Miriam Deborah Watson, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT1447 Issued in OK

Practice address

4198 Hobby Horse LN
Skiatook, OK 74070-9361

Phone

(918) 724-4788

Fax

(888) 284-2781

NPI assigned

Apr 23, 2007

Last updated

Mar 11, 2021By 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 1

Addresses

Other names 1

• M D Watson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1881812196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4198 HOBBY HORSE LN",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740709361",
            "telephone_number": "918-724-4788",
            "fax_number": "918-396-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4198 HOBBY HORSE LN",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740709361",
            "telephone_number": "918-724-4788",
            "fax_number": "888-284-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MIRIAM",
        "middle_name": "DEBORAH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "PT1447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "WATSON",
            "middle_name": "D",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tiffany Sybille Turner, M.S., CCC-SLP
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• Wal-Mart Stores East LP (Walmart Pharmacy 10-0246)
• Jacob William Washburn
• Victor Owen Waters, M.D.
• Terrill Paul Watson, LPC
• Cheri L. White, CNS
• Nellie Dawn Whitlatch-Crooks
• Williams Dental & Orthodontics, PC
• Bradford Raymond Williams, D.D.S.

• Specialist in Skiatook, OK
• Providers in Skiatook, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.