Active NPI
Alexandra Watkins, LAC, MSTOM
- Acupuncturist
- Chicago, IL
National Provider Identifier
1982156014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 189.001185
- Practice address
- 4447 N Hamlin Ave
#3
Chicago, IL 60625-5940 - Phone
- (773) 628-3622
- NPI assigned
- Oct 24, 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 189.001185 | IL | Primary |
Addresses
Primary practice location
4447 N Hamlin Ave
#3
Chicago, IL 60625-5940
Mailing address
4447 N Hamlin Ave
#3
Chicago, IL 60625-5940
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 |
|---|---|---|---|
| 189.001185 | IL | MD | Acupuncturist |
Interoperability endpoints
- alexandra.watkins@774798248574980.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1982156014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4447 N HAMLIN AVE",
"address_2": "#3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606255940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4447 N HAMLIN AVE",
"address_2": "#3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606255940",
"telephone_number": "773-628-3622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "ALEXANDRA",
"credential": "LAC, MSTOM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-24",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "189.001185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.