Laci Watson (NPI# 1053847509, PAC ID# 5991073298) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053847509 |
| PAC ID by PECOS | 5991073298 |
| Professional Enrollment ID | I20170609000011 |
| Full Name | Laci Watson |
| Organization Legal Name | CENTRAL COUNTIES HEALTH CENTERS, INC. |
| Address |
2239 E Cook St Springfield IL 62703-1944 |
| Phone Number | 21778823002307 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3274445762 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140150 | UNIVERSITY OF ILLINOIS HOSPITAL |
| 140053 | ST JOHNS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2239 E Cook St, Springfield, IL 62703-1944 | 21778823002307 | CENTRAL COUNTIES HEALTH CENTERS, INC. |
| Organization Legal Name | CENTRAL COUNTIES HEALTH CENTERS, INC. |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corinne Jahns | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Ashlyn S Bartels | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Hwa Long Chen | General Practice | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Mastan Rao Indlamuri | Family Medicine | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Jennifer Leeann Toon Porter | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Brittani M. Cunningham | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Audrey Thursby | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Gerardo Francisco Gomez Abundis | Internal Medicine | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Ashley Nicole Dunmire | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Rebecca Holland | Clinical Social Worker | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Street Address |
2239 E COOK ST |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62703-1944 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corinne Jahns | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Ashlyn S Bartels | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Hwa Long Chen | General Practice | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Mastan Rao Indlamuri | Family Medicine | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Jennifer Leeann Toon Porter | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Brittani M. Cunningham | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Audrey Thursby | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Gerardo Francisco Gomez Abundis | Internal Medicine | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Ashley Nicole Dunmire | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Rebecca Holland | Clinical Social Worker | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa L Henderson | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Michael M Murphy | Internal Medicine | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
| Virginia L Thompson | Clinical Social Worker | Killian and Associates Sc | 1020 S 5th St, Springfield, IL 62703-2312 |
| Jennifer R Hardwick | Psychiatry | Killian and Associates Sc | 1020 S 5th St, Springfield, IL 62703-2312 |
| Steven L Fritz | Psychologist, Clinical | Killian and Associates Sc | 1020 S 5th St, Springfield, IL 62703-2312 |
| Terry M Killian | Psychiatry | Killian and Associates Sc | 1020 S 5th St, Springfield, IL 62703-2312 |
| Angela F Trowbridge | Clinical Social Worker | Killian and Associates Sc | 1020 S 5th St, Springfield, IL 62703-2312 |
| Digisha Agarwal | Psychiatry | Killian and Associates Sc | 1020 S 5th St, Springfield, IL 62703-2312 |
| Tami L Skaggs | Clinical Social Worker | Killian and Associates Sc | 1020 S 5th St, Springfield, IL 62703-2312 |
| Thomas N Rooke | Anesthesiology | Springfield Clinic LLP | 1025 S 6th St, Springfield, IL 62703-2403 |
| Find all physicians in zip 62703 | |||
| City | SPRINGFIELD |
| Zip Code | 62703 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SPRINGFIELD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Laci Watson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.