Active NPI
Alexis Jeanlefon Watson, LPN
- Licensed Practical Nurse
- Lakewood, WA
National Provider Identifier
1922684612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP00046252
- Practice address
- 8803 Terrace Rd SW
Lakewood, WA 98498-4659 - Phone
- (235) 844-4523
- Fax
- (235) 302-3923
- NPI assigned
- Mar 22, 2021
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP00046252 | WA | Primary |
Addresses
Primary practice location
8803 Terrace Rd SW
Lakewood, WA 98498-4659
Mailing address
6711 159TH St E
Puyallup, WA 98375-7417
Phone (253) 472-2153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 239541 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://mail.google.com/mail/u/0/#inbox |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP00046252 | WA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1922684612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6711 159TH ST E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983757417",
"telephone_number": "253-472-2153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8803 TERRACE RD SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984984659",
"telephone_number": "235-844-4523",
"fax_number": "235-302-3923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "ALEXIS",
"middle_name": "JEANLEFON",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP00046252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "239541",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://mail.google.com/mail/u/0/#inbox",
"affiliation": "N",
"endpointDescription": "Email",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "8803 Terrace Rd SW",
"city": "Lakewood",
"state": "WA",
"country_code": "US",
"postal_code": "984984659",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.