Active NPI
Kimmy Watt
- Home Health Aide
- Plano, TX
National Provider Identifier
1982208179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 2525 Preston Rd
Plano, TX 75093-3569 - Phone
- (972) 439-8378
- NPI assigned
- Nov 28, 2020
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | TX | Primary |
Addresses
Primary practice location
2525 Preston Rd
Plano, TX 75093-3569
Mailing address
PO Box 795352
Dallas, TX 75379-5352
Phone (972) 439-8378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 853823728 | Medicaid | TX |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1982208179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 795352",
"city": "DALLAS",
"state": "TX",
"postal_code": "753795352",
"telephone_number": "972-439-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 PRESTON RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750933569",
"telephone_number": "972-439-8378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATT",
"first_name": "KIMMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-28",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "853823728",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.