KELLY M WATSON (NPI# 1154711265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154711265 |
| Entity Type | Individual |
| Full Name | KELLY M WATSON |
| Credential | FNP |
| Practice Address |
22742 Midland Dr Shawnee KS 66226-3553 |
| Practice Telephone | 9134412293 |
| Mailing Telephone | 9134412293 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
76681 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326527060 | Kelly Watson | Nurse Practitioner | 6802 S Olympia Ave Ste 300, Tulsa, OK 74132-1826 | 2018-08-13 |
| 1629447552 | Kelly Conway Watson | Nurse Practitioner | 12317 Soaring Flight Dr, Jacksonville, FL 32225-0784 | 2015-09-22 |
| 1053716837 | Kelly Watson | Occupational Therapist | 1662-a Lakeshore Court, Birmingham, AL 35209 | 2014-10-23 |
| 1114527835 | Kelly Watson | Pharmacist | 310 Fischer Rd, Sharpsburg, GA 30277-2084 | 2020-10-30 |
| 1689208910 | Kelly Danica Watson | Occupational Therapist | 13223 Black Mountain Rd # 1358, San Diego, CA 92129-2698 | 2020-02-25 |
| 1588164818 | Kelly Annette Watson | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2018-02-13 |
| 1922476753 | Kelly Watson | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2015-09-10 |
| 1669805305 | Kelly Jane-baldwin Watson | Physician Assistant | 700 S Tustin St, Orange, CA 92866-3425 | 2013-08-16 |
| 1174835334 | Kelly C Watson | Physician Assistant | 1900 10th Ave Ste 211, Columbus, GA 31901-3604 | 2010-07-05 |
| 1942529516 | Kelly A. Watson | Physician Assistant | 452 W 10th Ave, Columbus, OH 43210-1240 | 2010-05-21 |
| Street Address |
22742 MIDLAND DR |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66226-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932103751 | Matthew Thomas Gianforte | Chiropractor | 22742 Midland Dr, Shawnee, KS 66226-3553 | 2005-06-09 |
| 1447869045 | Jade Gifford | Physical Therapist | 22742 Midland Dr, Shawnee, KS 66226-3553 | 2020-07-29 |
| 1184250094 | Bartholomew Chupka | Physical Therapist | 22742 Midland Dr, Shawnee, KS 66226-3553 | 2020-03-23 |
| 1528629912 | Integrative Health Partners | Chiropractor | 22742 Midland Dr, Shawnee, KS 66226-3553 | 2019-06-26 |
| 1740764570 | Lindsey Dennis | Chiropractor | 22742 Midland Dr, Shawnee, KS 66226-3553 | 2018-09-18 |
| 1033455126 | Meredith R Gianforte | Chiropractor | 22742 Midland Dr, Shawnee, KS 66226-3553 | 2012-12-18 |
| 1710257928 | Lifeworks Integrative Health LLC | Chiropractor | 22742 Midland Dr, Shawnee, KS 66226-3553 | 2012-01-04 |
| 1891974135 | Uchenna Antonia Echendu | Registered Nurse | 22742 Midland Dr, Shawnee, KS 66226-3553 | 2007-11-02 |
| 1235342031 | Lifeworks Chiropractic Pa | Chiropractor | 22742 Midland Dr, Shawnee, KS 66226-3553 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598792 | Kaitlyn Nicole Jackman | Specialist/Technologist | 6320 Anderson St, Shawnee, KS 66226 | 2018-11-27 |
| 1912436379 | Alexandra Snyder | Behavioral Analyst | 23714 W. 54th Terr., Shawnee, KS 66226 | 2017-06-08 |
| 1992179741 | Melanie Miller | Nurse Practitioner | 5211 Woodsonia Dr, Shawnee, KS 66226 | 2015-11-17 |
| 1639512395 | Marjon Monfared | Family Medicine | 6815 Hilltop Rd Ste 100, Shawnee, KS 66226 | 2013-04-12 |
| 1063726941 | Kinsey Rachel Honeyman | Optometrist | 5433 Roberts Street, Shawnee, KS 66226 | 2010-08-03 |
| 1093974529 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 22700 W 55th Terrace, Shawnee, KS 66226 | 2008-06-09 |
| 1194811620 | William Schmidt | Physician Assistant | 6850 Hilltop Road, Suite 170, Shawnee, KS 66226 | 2006-10-04 |
| 1205280450 | Emily Meyer | Dentist | 6810 Silverheel St, Shawnee, KS 66226 | 2016-04-13 |
| 1013352384 | Honeyman Investments LLC | Eyewear Supplier (Equipment, not the service) | 5433 Roberts Street, Shawnee, KS 66226 | 2013-05-01 |
| 1457429524 | Steven D Rettinger | Family Medicine | 6815 Hilltop Rd, Ste 100, Shawnee, KS 66226 | 2006-11-30 |
| Find all providers in zip 66226 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275167397 | Kari Dawn Campbell | Nurse Practitioner | 4306 N Pottenger Ave, Shawnee, OK 74804-1267 | 2020-02-27 |
| 1609400266 | Kelly Elaine Bryden | Nurse Practitioner | 5117 Mccoy St, Shawnee, KS 66226-3807 | 2020-02-23 |
| 1316578842 | Amanda M Rigney | Nurse Practitioner | 322 S Aydelotte Ave, Shawnee, OK 74801-7611 | 2020-02-03 |
| 1326686767 | Jessica J. Hinchcliff | Nurse Practitioner | 5615 Maurer Rd, Shawnee, KS 66217-9766 | 2019-12-17 |
| 1023652815 | Sabrina Macalister | Nurse Practitioner | 30 Redbud Ln, Shawnee, OK 74801-8732 | 2019-11-05 |
| 1093364622 | Christiana Archibong | Nurse Practitioner | 21508 W 51st Pl, Shawnee, KS 66226-9731 | 2019-09-06 |
| 1003379728 | Marta Beshe | Nurse Practitioner | 5818 Theden St, Shawnee, KS 66218-9232 | 2019-04-09 |
| 1902370802 | Kelli Le Cox | Nurse Practitioner | 624 W Independence St Ste 116, Shawnee, OK 74804-4329 | 2019-01-14 |
| 1497243851 | Kendra Kirkendall | Nurse Practitioner | 421 N Beard Ave, Shawnee, OK 74801-6715 | 2018-05-01 |
| 1972975092 | Kristina Feezor | Nurse Practitioner | 1904 Gordon Cooper Dr, Shawnee, OK 74801-8603 | 2015-10-28 |
| Find all providers in SHAWNEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.