LESLIE ORR WATKINS (NPI# 1588204465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588204465 |
| Entity Type | Individual |
| Full Name | LESLIE ORR WATKINS |
| Credential | CNP |
| Practice Address |
410 S Park Dr Broken Bow OK 74728-4742 |
| Practice Telephone | 5805846300 |
| Practice Fax Number | 5805846300 |
| Mailing Telephone | 5805846888 |
| Mailing Fax Number | 5805846300 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WX0003X |
Registered Nurse Specialization: Obstetric, Inpatient |
61859 | OK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1851642854 | Leslie Ann Watkins | Chiropractor | 5103 Merriam Dr, Merriam, KS 66203-2167 | 2012-10-01 |
| 1316047111 | Leslie Ann Watkins | Social Worker | 51 Glasgow Ave, Jamestown, NY 14701-6413 | 2006-09-22 |
| Street Address |
410 S PARK DR |
| City | BROKEN BOW |
| State | OK |
| Zip Code | 74728-4742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426489 | Leslie Watkins Broken Bow Family Clinic LLC | Registered Nurse | 410 S Park Dr, Broken Bow, OK 74728-4742 | 2020-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730732926 | Natorrie D'atra Morris | Nurse Practitioner | Mccurtain Family Medical Clinic, 800 N Park Dr, Broken Bow, OK 74728 | 2019-07-17 |
| 1477925535 | Rebecca Stover | Nurse Practitioner | 813 Veterans Way, Broken Bow, OK 74728 | 2015-10-28 |
| 1023366614 | Tlc Family Clinic, LLC | Clinic/Center | 700 W. Jones, Tlc Family Clinic, LLC, Broken Bow, OK 74728 | 2012-08-29 |
| 1699925867 | Faith Lucille Phillips | Psychologist | 411 S. Park Drive, Broken Bow, OK 74728 | 2008-09-24 |
| 1265057251 | Heather Renee Payne | Counselor | 205 N. Main St, Broken Bow, OK 74728 | 2020-06-15 |
| 1396244109 | Erika Ann White | Counselor | 205 N Main St, Broken Bow, OK 74728 | 2018-02-07 |
| 1366954661 | Black Oak Clinic LLC | Clinic/Center | 110 W 1st St, Broken Bow, OK 74728 | 2017-10-26 |
| 1922467505 | Stover Family Clinic | Clinic/Center | 813 Veterans Way, Broken Bow, OK 74728 | 2016-02-11 |
| 1568820140 | Megan Elizabeth Black | Nurse Practitioner | 110 W 1st St, Broken Bow, OK 74728 | 2016-02-10 |
| 1578797221 | Kenneth G Ericksen | Chiropractor | 1605 S Park Dr, Broken Bow, OK 74728 | 2009-05-11 |
| Find all providers in zip 74728 | ||||
| Taxonomy Code | 163WX0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Obstetric, Inpatient |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992277297 | Taylor Lewis | Registered Nurse | 2417 Nw 180th St, Edmond, OK 73012-0653 | 2018-12-26 |
| 1114577632 | Jamie L Prock | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-17 |
| 1669998027 | Krystal Dawn Fletcher | Registered Nurse | 201 N Main St, Yale, OK 74085-2509 | 2017-08-17 |
| 1124477781 | Bridgette Bailey | Registered Nurse | 4301 Wilson St, Fort Sill, OK 73503-4472 | 2016-06-05 |
| 1811346463 | Jodi Cook | Registered Nurse | 4301 Wilson St, Fort Sill, OK 73503-4472 | 2016-06-05 |
| 1407204373 | Shanda Moore | Registered Nurse | 4301 Wilson St, Fort Sill, OK 73503-4472 | 2016-06-01 |
| 1174992150 | Sharon Hall | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2015-09-19 |
| 1487023818 | Jessica Sanders | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2015-09-16 |
| City | BROKEN BOW |
| Zip Code | 74728 |
Please comment or provide details below to improve the information on LESLIE ORR WATKINS.
| 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.