Peggilu Garrett Watkins, M.S., R.D., L.D.

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

DT02678 Issued in TX

Practice address

1504 Azalea Dr
Lufkin, TX 75904-5334

Phone

(936) 637-6142

NPI assigned

Jan 20, 2012

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

Other names 1

• Marguerite Louise Garrett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1972874063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 AZALEA DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045334",
            "telephone_number": "936-637-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 AZALEA DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045334",
            "telephone_number": "936-637-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "PEGGILU",
        "middle_name": "GARRETT",
        "name_prefix": "Ms.",
        "credential": "M.S., R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "TX",
            "license": "DT02678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGUERITE",
            "last_name": "GARRETT",
            "middle_name": "LOUISE",
            "credential": "M.S., R.D., L.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Renal Nutrition Registered Dietitian in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Renal Nutrition Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.