JENNIFER ANN WATSON (NPI# 1922576859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922576859 |
| Entity Type | Individual |
| Full Name | JENNIFER ANN WATSON |
| Credential | APRN |
| Practice Address |
1300 N Market St Sparta IL 62286-1048 |
| Practice Telephone | 6184432177 |
| Practice Fax Number | 6184431383 |
| Mailing Telephone | 6184432177 |
| Mailing Fax Number | 6184431383 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209018430 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE OF ILLINOIS APN LICENSE NUMBER | 209018430 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487974 | Jennifer Watson | Technician | 3874 Audra Park Rd, Belington, WV 26250-7476 | 2020-08-11 |
| 1407313307 | Jennifer N Watson | Developmental Therapist | 4355 Country View Dr, Floyds Knobs, IN 47119-9313 | 2019-02-27 |
| 1881166676 | Jennifer Marie Watson | Social Worker | 1436 U St Nw Ste 303, Washington, DC 20009-3988 | 2018-12-18 |
| 1891202164 | Jennifer Watson | Occupational Therapist | 2920 Vienna Rd, Charlestown, IN 47111-8410 | 2018-01-08 |
| 1841748076 | Jennifer N. Watson | Nurse Practitioner | 3950 Beaubien - Ground Fl, Children's Hospital of Mi, Detroit, MI 48201-2153 | 2016-09-16 |
| 1831454842 | Jennifer B Watson | Physical Therapy Assistant | 228 Fireside Ln, Mount Airy, NC 27030-7638 | 2012-07-06 |
| 1427329929 | Jennifer M Watson | Physical Therapist | 1220 Berard St Ste B, Breaux Bridge, LA 70517-4865 | 2012-01-16 |
| 1083992762 | Jennifer J. Watson | Social Worker | 10755 Ambassador Dr Ste 201, Manassas, VA 20109-2527 | 2011-07-28 |
| 1619293867 | Jennifer Goolsby Watson | Nurse Practitioner | 2970 W Us Highway 90, Suite 120, Lake City, FL 32055-4700 | 2010-04-13 |
| 1235390352 | Jennifer M Watson | Psychologist | 5341 Sw 91st Ter, Gainesville, FL 32608-8108 | 2008-06-20 |
| Street Address |
1300 N MARKET ST |
| City | SPARTA |
| State | IL |
| Zip Code | 62286-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992762116 | Dana Lakatos | Physician Assistant | 1300 N Market St, Sparta, IL 62286-1048 | 2006-05-01 |
| 1265976039 | Destiny Wilson | Nurse Practitioner | 1300 N Market St, Sparta, IL 62286-1048 | 2016-12-13 |
| 1255730479 | Danielle Renee Preuss | Physician Assistant | 1300 N Market St, Sparta, IL 62286-1048 | 2014-08-14 |
| 1508114620 | Valerie Blechle | Nurse Practitioner | 1300 N Market St, Sparta, IL 62286-1048 | 2012-08-21 |
| 1649534181 | Jeffrey S Powell | Occupational Therapist | 1300 N Market St, Sparta, IL 62286-1048 | 2012-06-29 |
| 1841554391 | Andra Marie Dehn | Physical Therapist | 1300 N Market St, Sparta, IL 62286-1048 | 2012-06-29 |
| 1831495845 | Elizabeth Raye Kraus | Nurse Practitioner | 1300 N Market St, Sparta, IL 62286-1048 | 2011-02-09 |
| 1215101191 | Amy Lynn Koudelka | Physical Therapist | 1300 N Market St, Sparta, IL 62286-1048 | 2008-04-22 |
| 1477502862 | Scott I Barclay | Family Medicine | 1300 N Market St, Sparta, IL 62286-1048 | 2006-05-10 |
| 1417914557 | David Taewoong Chung | Family Medicine | 1300 N Market St, Sparta, IL 62286-1048 | 2006-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841502 | Rikki Schaefer | Physician Assistant | 205 South Burns Ave, Sparta, IL 62286 | 2015-01-13 |
| 1922242130 | Sparta Community Hospital | Clinic/Center | 211 South Burns Avenue, Sparta, IL 62286 | 2009-05-01 |
| 1245452739 | Human Service Center of Southern Metro East | Clinic/Center | 104 Northtown Drive, Sparta, IL 62286 | 2007-05-03 |
| 1356479497 | Randal W Mcbride | Dentist | 1701 N Market St, Suite 2, Sparta, IL 62286 | 2007-03-01 |
| 1043398050 | Chris M Murry | Chiropractor | 401 West Broadway, Sparta, IL 62286 | 2006-11-01 |
| 1679657548 | Frantz Antoine Charles | Surgery | 818 East Broadway, Sparta Community Hospital, Sparta, IL 62286 | 2006-10-25 |
| 1750497194 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 207 South Burns Ave, Family Health Centre, Sparta, IL 62286 | 2006-08-21 |
| 1740395045 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 1300 North Campus, Sparta Community Hospital, North Campus, Sparta, IL 62286 | 2006-08-20 |
| 1326153552 | Sparta Communty Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 211 South Burns Ave, Quality Healthcare Surgery, Sparta, IL 62286 | 2006-08-20 |
| 1740395003 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 215 South Burns Avenue, Sparta, IL 62286 | 2006-08-20 |
| Find all providers in zip 62286 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386951 | Katherine Grace Dymacz | Nurse Practitioner | 376 Lafayette Rd Ste 101, Sparta, NJ 07871-3560 | 2020-11-04 |
| 1275152696 | Sage Wellness Clinic, LLC | Nurse Practitioner | 14 Liberty Sq, Sparta, TN 38583-2044 | 2020-04-15 |
| 1043790504 | Regional Services | Nurse Practitioner | 8520 Mo-14, Sparta, MO 65753 | 2018-08-15 |
| 1265957054 | Laura Allese Hall | Nurse Practitioner | 150 Sam Walton Dr Ste 600, Sparta, TN 38583-8814 | 2017-08-14 |
| 1649436965 | Sarah Catherine Sandgran | Nurse Practitioner | 26 Gail Ct Ste 2a, Sparta, NJ 07871-3487 | 2008-08-06 |
| 1548450349 | Bryan L. Logan | Nurse Practitioner | 155 Village Drive, Sparta, MO 65673 | 2007-07-27 |
| 1407968936 | Maria Haydon Buttner | Nurse Practitioner | 11 Centre Street, Theatre Center, Sparta, NJ 07871 | 2006-08-31 |
| 1003881244 | Deanne C Rieckenberg | Nurse Practitioner | 215 S Burns Ave, Sparta Medical Office, Sparta, IL 62286 | 2006-02-21 |
| 1356338982 | Jennifer L Hart | Nurse Practitioner | 11 Theatre Ctr, Sparta, NJ 07871-2433 | 2005-09-29 |
| 1942761929 | Kathleen Loyd | Nurse Practitioner | 150 Sam Walton Dr, Sparta, TN 38583-8815 | 2019-03-30 |
| Find all providers in SPARTA | ||||
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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.