Active NPI
Jenelle S Watts, MD
- Obstetrics & Gynecology Physician
- Plano, TX
National Provider Identifier
1891761649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- K6407
- Practice address
- 3804 W 15TH St
Suite 140
Plano, TX 75075-4752 - Phone
- (469) 326-1600
- Fax
- (469) 326-1608
- NPI assigned
- Feb 23, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | K6407 | TX | Primary |
Addresses
Primary practice location
3804 W 15TH St
Suite 140
Plano, TX 75075-4752
Mailing address
2220 Coit Rd Ste 480-221
Plano, TX 75075-3797
Phone (469) 277-9103
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202173501 | Medicaid | TX | |
| 202173504 | Medicaid | TX |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K6407 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Jenelle a. Watts, MD PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Melinda D Spooner MD PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Plano, TX
- NPI 1124619937
-
- Gynecology Physician
- Plano, TX
- NPI 1982713848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1891761649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 COIT RD STE 480-221",
"city": "PLANO",
"state": "TX",
"postal_code": "750753797",
"telephone_number": "469-277-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3804 W 15TH ST",
"address_2": "SUITE 140",
"city": "PLANO",
"state": "TX",
"postal_code": "750754752",
"telephone_number": "469-326-1600",
"fax_number": "469-326-1608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "JENELLE",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2021-06-24",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "K6407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202173501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202173504",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.