TIMOTHY R WATSON (NPI# 1003285461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003285461 |
| Entity Type | Individual |
| Full Name | TIMOTHY R WATSON |
| Credential | FNP-C |
| Practice Address |
Acute Care and Family Clininc 351 Peoples Dr 351 Peoples Dr Pontotoc MS 38863 |
| Mailing Address |
11 Cr 4091 Oxford MS 38655 |
| Practice Telephone | 6624892777 |
| Mailing Telephone | 2516049639 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2016-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95003063 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95003063 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740718063 | Timothy Erick Watson | Counselor | 2501 Parkview Dr Ste 312, Fort Worth, TX 76102-5815 | 2017-05-31 |
| 1154748390 | Timothy Watson | Psychologist | 800 N Sandusky Ave, Upper Sandusky, OH 43351-1032 | 2014-03-26 |
| 1730114968 | Timothy Watson | Pediatrics | 6926 Brockton Ave Ste 6, Riverside, CA 92506-3804 | 2006-07-12 |
| 1083656144 | Timothy Lee Watson II | Physician Assistant | 703 Ritter Dr, Glen Morgan, WV 25813-7709 | 2006-06-12 |
| 1922181866 | Timothy Doyle Watson | Radiology | 760 Broadway, Department of Radiology, Brooklyn, NY 11206 | 2006-10-23 |
| 1780639229 | Timothy B Watson | Anesthesiology | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2006-05-23 |
| 1649253295 | Timothy Watson | Orthopaedic Surgery | 1630 E Herndon Ave, Fresno, CA 93720-3305 | 2005-11-28 |
| Street Address |
ACUTE CARE AND FAMILY CLININC 351 PEOPLES DR 351 PEOPLES DR |
| City | PONTOTOC |
| State | MS |
| Zip Code | 38863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429176 | Erik Goodwin | Chiropractor | 1 Goodwin Drive, Pontotoc, MS 38863 | 2020-08-28 |
| 1003455379 | Billie Jay Holloway | Technician | 1357 Hwy 9 South, Pontotoc, MS 38863 | 2020-01-03 |
| 1689185597 | Southern Physical and Aquatic Therapy, P.a. | Clinic/Center | 369 Peoples Drive, Pontotoc, MS 38863 | 2017-10-18 |
| 1699290460 | Jamie Michelle Holloway | Nurse Practitioner | 1374 Cooke Road, Pontotoc, MS 38863 | 2017-08-13 |
| 1235673351 | Carla Chism | Speech-Language Pathologist | 2564 Highway 345, Pontotoc, MS 38863 | 2016-12-08 |
| 1669924379 | Stephanie N Watson | Nurse Practitioner | 351 Peoples Dr. # A, Pontotoc, MS 38863 | 2016-10-28 |
| 1770995938 | Mississippi Professional Counseling Associates | Social Worker | 356a East Oxford Street, Pontotoc, MS 38863 | 2014-05-22 |
| 1376852525 | Kenneth E Prewett | Pharmacist | 170 Highway 15 N, Pontotoc, MS 38863 | 2010-10-05 |
| 1801105051 | Thomas Keith Guntharp | Pharmacist | 170 Highway 15 North, Pontotoc, MS 38863 | 2010-10-05 |
| 1851618193 | Pilar Gonzalez | Social Worker | 241-a County Road 501, Ripley, MS 38863 | 2010-04-27 |
| Find all providers in zip 38863 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699290460 | Jamie Michelle Holloway | Nurse Practitioner | 1374 Cooke Road, Pontotoc, MS 38863 | 2017-08-13 |
| 1427580927 | Britny Bramlett Owens | Nurse Practitioner | 135 E Oxford St, Pontotoc, MS 38863-2111 | 2017-04-03 |
| 1669924379 | Stephanie N Watson | Nurse Practitioner | 351 Peoples Dr. # A, Pontotoc, MS 38863 | 2016-10-28 |
| 1518415280 | Austin Pitman | Nurse Practitioner | 12 Brookes Xing, Pontotoc, MS 38863-1009 | 2016-09-12 |
| 1396185542 | Jana Markita Call | Nurse Practitioner | 351 Peoples Dr, Pontotoc, MS 38863-8990 | 2013-07-02 |
| 1285652412 | Patricia Anne Lindsay | Nurse Practitioner | 109 Highway 15 S, Pontotoc, MS 38863-2628 | 2006-07-17 |
| 1679114821 | Cynthia Bishop | Nurse Practitioner | 351 Peoples Dr, Pontotoc, MS 38863-8990 | 2019-09-30 |
| 1972006419 | Michael Harris Barron | Nurse Practitioner | 353 Highway 15 N, Pontotoc, MS 38863-1103 | 2018-03-12 |
| 1215438379 | Erin Danielle Grady | Nurse Practitioner | 12 Brookes Xing, Pontotoc, MS 38863-1009 | 2018-02-23 |
| 1366992083 | Jessica Maffett | Nurse Practitioner | 12 Brookes Xing, Pontotoc, MS 38863-1009 | 2016-10-05 |
| Find all providers in PONTOTOC | ||||
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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.