DR. STACY AILINE WATSON (NPI# 1174058523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174058523 |
| Entity Type | Individual |
| Full Name | DR. STACY AILINE WATSON |
| Credential | M.D. |
| Practice Address |
1400 S Coulter St Suite 3500 Amarillo TX 79106-1786 |
| Practice Telephone | 8064149650 |
| Practice Fax Number | 8063545626 |
| Mailing Telephone | 8064149650 |
| Mailing Fax Number | 8063545626 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356869127 | Stacy A Watson | Registered Nurse | 90 N 31st St, Clinton, OK 73601-9116 | 2017-08-31 |
| 1144549817 | Stacy Watson | Social Worker | 914 Harrison Ave, Panama City, FL 32401-2528 | 2010-05-20 |
| 1811901317 | Stacy A Watson | Social Worker | 258 Meadow Dr, Danville, IN 46122-1416 | 2006-07-28 |
| Street Address |
1400 S COULTER ST SUITE 3500 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980057 | Jack D Waller | Specialist | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2005-05-31 |
| 1992311385 | Karlyn Hood | Pharmacist | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-09-21 |
| 1083225866 | Roa Ali Eliyan Bashtawi | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-08-13 |
| 1063040020 | Mohammed Adib Tanbir | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-03-27 |
| 1558998898 | Joshua Anthony Sorenson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-03-26 |
| 1740815943 | Udhaya Aelety | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-03-08 |
| 1831720341 | Nicole Moreno | Pharmacist | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-02-03 |
| 1891347399 | Baptist Saint Anthony Health System | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2019-07-15 |
| 1134771645 | Daniyah Ali Elagi | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2019-07-15 |
| 1861055782 | Jankikeerthika Muthukaruppan Dharmarpandi | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2019-04-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245516 | Balaji Prasad Ellapp Mohanakrishnan | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter Street, Suite 2500, Amarillo, TX 79106-1786 | 2020-04-27 |
| 1144841529 | Muhammad Ali Anees | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 2500, Amarillo, TX 79106-1786 | 2020-04-27 |
| 1902426414 | Bikal Sapkota | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter Street, Suite 1500, Amarillo, TX 79106-1786 | 2020-04-24 |
| 1437711652 | Rebecca Candice Ramdhan | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St Ste 500, Amarillo, TX 79106-1786 | 2019-07-08 |
| 1467936419 | Sengphet Vangvanh | Student in an Organized Health Care Education/Training Program | 1508 Heather St, Amarillo, TX 79107-8015 | 2018-09-15 |
| 1770080921 | Nibras Talib Mamury | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St # 2500, Amarillo, TX 79106-1786 | 2018-04-12 |
| 1740787043 | Preetha Kandaswamy | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St Ste 1500, Amarillo, TX 79106-1786 | 2018-04-12 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1629574157 | Christina Min Young | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St Ste 3500, Amarillo, TX 79106-1786 | 2018-04-03 |
| 1548796956 | Travis Daniel Nash | Student in an Organized Health Care Education/Training Program | 3423 S Soncy Rd, Amarillo, TX 79119-6400 | 2017-05-04 |
| Find all providers in AMARILLO | ||||
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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.