Active NPI
Lisa L Watson, RDH
- Dental Hygienist
- Chester, VT
National Provider Identifier
1992530356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 015.0001537
- Practice address
- 55 VT Route 11 W
Chester, VT 05143-9202 - Phone
- (802) 875-2878
- Fax
- (802) 875-6696
- NPI assigned
- Sep 5, 2024
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 015.0001537 | VT | Primary |
Addresses
Primary practice location
55 VT Route 11 W
Chester, VT 05143-9202
Mailing address
420 Quarry Rd
Perkinsville, VT 05151-9608
Phone (802) 376-4274
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 |
|---|---|---|---|
| 015.0001537 | VT | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1992530356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 QUARRY RD",
"city": "PERKINSVILLE",
"state": "VT",
"postal_code": "051519608",
"telephone_number": "802-376-4274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 VT ROUTE 11 W",
"city": "CHESTER",
"state": "VT",
"postal_code": "051439202",
"telephone_number": "802-875-2878",
"fax_number": "802-875-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "LISA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "VT",
"license": "015.0001537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.