MS. TALISHA LADONNA WATTS (NPI# 1215197082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215197082 |
Entity Type | Individual |
Full Name | MS. TALISHA LADONNA WATTS |
Credential | ANP-BC |
Practice Address |
34390 Country Meadow Rd Chesterfield MI 48047-3161 |
Practice Telephone | 3134653550 |
Mailing Telephone | 3134653550 |
Enumeration Date | 2008-06-14 |
Last Update Date | 2015-05-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2008000145 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBS IND | 5008609170 | 01 |
MI | 1215197082 | 05 |
Street Address |
34390 COUNTRY MEADOW RD |
City | CHESTERFIELD |
State | MI |
Zip Code | 48047-3161 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225582687 | Watts Primary Care Psc | Registered Nurse | 34390 Country Meadow Rd, Chesterfield, MI 48047-3161 | 2016-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
1184289050 | Emily Virginia Barc | Speech-Language Pathologist | 50522 Elsey St, New Baltimore, MI 48047 | 2019-05-07 |
1629562665 | In Your Home Senior Assistance LLC | In Home Supportive Care | 33813 Bayview Drive, Chesterfield, MI 48047 | 2018-06-21 |
1669978805 | Tiffany Nicole Bankhead | Nurse's Aide | 35859 Cranbrook Ct., New Baltimore, MI 48047 | 2018-04-05 |
1295246031 | Mary-devon Leigh Bement | Social Worker | Grace Counseling, 23 Mile Rd., Chesterfield, MI 48047 | 2017-10-19 |
1780107706 | Willow of Wonder Child & Family Therapy Pllc | Community/Behavioral Health | 51500 Birch St Unit C, New Baltimore, MI 48047 | 2017-07-21 |
1760903082 | Jason Aaron Johnson | Massage Therapist | 28390 Gamble Road, Chesterfield, MI 48047 | 2017-06-28 |
1699226431 | Aaron Curtis Teutsch | Counselor | 35031 23 Mile Rd., New Baltimore, MI 48047 | 2016-10-17 |
1285009506 | Adelle Lenhausen | Dental Hygienist | 36500 Front St, New Baltimore, MI 48047 | 2015-12-11 |
1528441359 | Elaine Genevieve Grant | Podiatrist | 32743 23 Mile Rd Ste 110, Chesterfield, MI 48047 | 2015-06-29 |
Find all providers in zip 48047 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669938825 | Mishii Strother Hamlor | Nurse Practitioner | 4801 Newbys Mill Ter, Chesterfield, VA 23832-7875 | 2019-02-13 |
1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
1376097469 | Admir Brkic | Nurse Practitioner | 14554 Pembury Dr, Chesterfield, MO 63017-2535 | 2016-08-07 |
1457719866 | Ashley Lauren Schneider | Nurse Practitioner | 17205 Chesterfield Airport Rd, Chesterfield, MO 63005-1423 | 2016-02-01 |
1497112874 | Jordan Kimler | Nurse Practitioner | 124 Chesterfield Towne Ctr, Chesterfield, MO 63005 | 2016-01-15 |
1396156659 | Mandie De Vincentis | Nurse Practitioner | 15379 Red Willow Ct, Chesterfield, MO 63017-5426 | 2014-05-08 |
1063774875 | Tamara Eyvette Tomlin | Nurse Practitioner | 14805 North Outer Rd, 320, Chesterfield, MO 63017-2221 | 2012-06-08 |
1205149366 | Cathy M Coleman | Nurse Practitioner | 224 S Woods Mill Rd Ste 620s, Chesterfield, MO 63017-3619 | 2010-07-19 |
1720238645 | Sabrina Renea Brown-oliver | Nurse Practitioner | 500 Ward Ave, Chesterfield, NJ 08515-2928 | 2008-09-28 |
1275573966 | Cecile Evangelio Calabio | Nurse Practitioner | 14855 North Outer 40 Road, Chesterfield, MO 63017 | 2006-06-08 |
Find all providers in CHESTERFIELD |
City | CHESTERFIELD |
Zip Code | 48047 |
Please comment or provide details below to improve the information on MS. TALISHA LADONNA WATTS.
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.