Deborah Anna Watson, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

465246 Issued in CA

Practice address

351 S Mt View Ave Ste 104
San Bernardino, CA 92408-1414

Phone

(800) 722-4794

Fax

(909) 387-6377

NPI assigned

Oct 21, 2019

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1972146140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 S MT VIEW AVE STE 104",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924081414",
            "telephone_number": "800-722-4722",
            "fax_number": "909-387-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 S MT VIEW AVE STE 104",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924081414",
            "telephone_number": "800-722-4794",
            "fax_number": "909-387-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "DEBORAH",
        "middle_name": "ANNA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "465246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Watermanidence Opco, LLC
• Mary Waters Parks, MSG
• Deon Watkins
• Robert William Watrous, MD
• Abigail Christine Watson, B.S.
• Michael Watson
• Jonathan Lam Yuen Watt, M.D.
• Byron Wattree, MS, AMFT, CATCIII
• Annette Weathington, LCSW
• Brianne Weaver, PA-C

• General Practice Registered Nurse in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.