MRS. LISA M WATSON (NPI# 1396206678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396206678 |
| Entity Type | Individual |
| Full Name | MRS. LISA M WATSON |
| Other Name | LISA M WATSON |
| Credential | ARNP |
| Practice Address |
130 Hospital Rd Ste 102 Prince Frederick MD 20678-4029 |
| Mailing Address |
3001 Wildflower Dr La Plata MD 20646-3271 |
| Practice Telephone | 3214312027 |
| Mailing Telephone | 3214312027 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN11001327 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881197176 | Lisa Ervin Watson | Speech-Language Pathologist | 6016 Providence Rd, Virginia Beach, VA 23464-3807 | 2018-03-13 |
| 1699293183 | Lisa Camille Watson | Psychologist | 7750 Okeechobee Boulevard, Suite 4-9-19, West Palm Beach, FL 33411 | 2017-09-05 |
| 1457700312 | Lisa Watson | Counselor | 304 Olson Dr Ste 115, Papillion, NE 68046-2979 | 2016-06-10 |
| 1548658859 | Lisa Watson | Occupational Therapy Assistant | 5426 Homeside Ave, Los Angeles, CA 90016-3712 | 2015-01-08 |
| 1821323486 | Lisa Ann Watson | Speech-Language Pathologist | 4407 N Division St Ste 304, Spokane, WA 99207-1613 | 2009-10-14 |
| 1669609764 | Lisa Marie Watson | Case Manager/Care Coordinator | 1425 W. Main Street, Walnut Ridge, AR 72476-1431 | 2009-06-16 |
| 1548432594 | Lisa Ann Watson | Speech-Language Pathologist | 6902 Pine Dr, Paragould, AR 72450-8539 | 2008-03-31 |
| 1164576773 | Lisa Watson | Speech-Language Pathologist | 405 8th Ave Sw, Mandan, ND 58554-4030 | 2007-01-22 |
| 1568937167 | Lisa Watson | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2018-10-10 |
| 1417461831 | Lisa D Watson | Licensed Practical Nurse | 59 Hospital Rd, Newnan, GA 30263-1209 | 2017-11-21 |
| Street Address |
130 HOSPITAL RD STE 102 |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-4029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780156455 | Statcare Group, LLC | Clinic/Center | 130 Hospital Rd Ste 102, Prince Frederick, MD 20678-4029 | 2018-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235126178 | Marijo Cosmas | Nurse Practitioner | 301 Steeple Chase Dr, Suite 404, Prince Frederick, MD 20678-4049 | 2005-10-05 |
| 1275162489 | Paul Ejime Iweriebor | Nurse Practitioner | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2020-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416256 | Muriel Monsalud | Nurse Practitioner | 103 W Ostend St, Baltimore, MD 21230-3710 | 2020-10-27 |
| 1891307575 | Aparna Cynthia Nallala Anil | Nurse Practitioner | 75 Thomas Johnson Dr Ste I, Frederick, MD 21702-4895 | 2020-08-23 |
| 1285243832 | Jaspreet Kaur Garriques | Nurse Practitioner | 22 S Greene St # N8e10, Baltimore, MD 21201-1590 | 2020-07-29 |
| 1386267011 | Ann Acosta | Nurse Practitioner | 2014 English Oak Ct, Waldorf, MD 20601-4505 | 2020-05-28 |
| 1205455029 | Latoya Harvey | Nurse Practitioner | 8408 Adler Ct, Millersville, MD 21108-1771 | 2020-04-11 |
| 1013546100 | Issa Tew Lo | Nurse Practitioner | 6001 Muncaster Mill Rd, Rockville, MD 20855-1622 | 2020-04-02 |
| 1891328779 | Sergio Arellano-ayala | Nurse Practitioner | 22 S Greene St # S4d03, Baltimore, MD 21201-1544 | 2020-02-19 |
| 1518599844 | Hibret Kassa Yifru | Nurse Practitioner | 102 Abbey Manor Ter, Brookeville, MD 20833-3291 | 2020-02-05 |
| 1710518402 | Conny Nganga | Nurse Practitioner | 10605 Meridian Hill Way, Upper Marlboro, MD 20772-4847 | 2020-01-31 |
| 1689204604 | Nathaniel Darway | Nurse Practitioner | 500 John Ave, Essex, MD 21221-3344 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
Please comment or provide details below to improve the information on MRS. LISA M WATSON.
| 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.