Active NPI
Chantelle Watson, CRNP
- Nurse Practitioner
- Auburn, AL
National Provider Identifier
1972953842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP.1-110690
- Practice address
- 994 Drew LN
Auburn, AL 36830-4302 - Phone
- (334) 821-1219
- NPI assigned
- Jun 21, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP.1-110690 | AL | Primary |
Addresses
Primary practice location
994 Drew LN
Auburn, AL 36830-4302
Mailing address
665 Little Rd
Tallassee, AL 36078-3095
Phone (334) 821-1219
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP.1-110690 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric Hemberg, MD, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Opelika, AL
- NPI 1336259027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1972953842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 LITTLE RD",
"city": "TALLASSEE",
"state": "AL",
"postal_code": "360783095",
"telephone_number": "334-821-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "994 DREW LN",
"city": "AUBURN",
"state": "AL",
"postal_code": "368304302",
"telephone_number": "334-821-1219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "CHANTELLE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "NP.1-110690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, AL
- Nathanial David Warner, ATC, LAT
- Washburn Family Dental Care, Inc (Moores Mill Dental Care)
- Ernest Jason Washburn, DMD
- Logan Michael Washburn
- Marguerite England Waters, CRNP, FNP-BC
- Katelyn Watts, PHARM D.
- Aurora Juliet Weaver, AU.D
- William A Webb, MD
- Lorenzo Alexander Webster, M.A., BCBA, LBA
- Christi Garner Weeks, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.