Tyler Watson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2022041048 Issued in MO

Practice address

616 E High St
Jefferson City, MO 65101-3219

Phone

(573) 340-5121

NPI assigned

Aug 30, 2018

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 14, 2023 through Jun 14, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1891277307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 GREENBRIER DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651098717",
            "telephone_number": "573-340-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E HIGH ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013219",
            "telephone_number": "573-340-5121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7280 NW 87th Ter # C-120",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641533720",
            "country_code": "US",
            "telephone_number": "833-359-8332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "MO",
            "postal_code": "652511793",
            "country_code": "US",
            "telephone_number": "573-220-3651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4008 Greenbrier Dr",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651098717",
            "country_code": "US",
            "telephone_number": "573-340-5121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TYLER",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-30",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2022041048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyan Warren, LMSW
• Shana Dee Washabaugh, OT
• Anaya Washington
• Nancy Kay Waters, MA, CCC-SLP
• Ashley Watson, DO
• Wayfinder Therapeutic Services LLC
• Linda Weaver
• Lindsey Webb
• Shelley P Webb, MED, PLPC
• Cynde Marie Weber, LCSW

• Family Medicine Physician in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.