WATTS PRIMARY CARE PSC (NPI# 1225582687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225582687 |
| Entity Type | Organization |
| Organization Name | WATTS PRIMARY CARE PSC |
| Practice Address |
34390 Country Meadow Rd Chesterfield MI 48047-3161 |
| Practice Telephone | 3134659892 |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |
| Authorized Official Name | TALISHA WATTS (CEO) |
| Authorized Official Telephone | 3134659892 |
| Authorized Official Credential | DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
4704246644 | MI | Nursing Service Providers |
| Street Address |
34390 COUNTRY MEADOW RD |
| City | CHESTERFIELD |
| State | MI |
| Zip Code | 48047-3161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215197082 | Talisha Ladonna Watts | Nurse Practitioner | 34390 Country Meadow Rd, Chesterfield, MI 48047-3161 | 2008-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1184289050 | Emily Virginia Barc | Speech-Language Pathologist | 50522 Elsey St, New Baltimore, MI 48047 | 2019-05-07 |
| 1629562665 | In Your Home Senior Assistance LLC | In Home Supportive Care | 33813 Bayview Drive, Chesterfield, MI 48047 | 2018-06-21 |
| 1669978805 | Tiffany Nicole Bankhead | Nurse's Aide | 35859 Cranbrook Ct., New Baltimore, MI 48047 | 2018-04-05 |
| 1295246031 | Mary-devon Leigh Bement | Social Worker | Grace Counseling, 23 Mile Rd., Chesterfield, MI 48047 | 2017-10-19 |
| 1780107706 | Willow of Wonder Child & Family Therapy Pllc | Community/Behavioral Health | 51500 Birch St Unit C, New Baltimore, MI 48047 | 2017-07-21 |
| 1760903082 | Jason Aaron Johnson | Massage Therapist | 28390 Gamble Road, Chesterfield, MI 48047 | 2017-06-28 |
| 1699226431 | Aaron Curtis Teutsch | Counselor | 35031 23 Mile Rd., New Baltimore, MI 48047 | 2016-10-17 |
| 1285009506 | Adelle Lenhausen | Dental Hygienist | 36500 Front St, New Baltimore, MI 48047 | 2015-12-11 |
| 1528441359 | Elaine Genevieve Grant | Podiatrist | 32743 23 Mile Rd Ste 110, Chesterfield, MI 48047 | 2015-06-29 |
| Find all providers in zip 48047 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780749622 | Shirley Rowland | Registered Nurse | 9501 Lucy Corr Cir, Chesterfield, VA 23832-6697 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033831 | Shelly Cromerkennedy | Registered Nurse | 14583 Archdale St, Detroit, MI 48227-1441 | 2020-11-02 |
| 1487265559 | Rita N Shah | Registered Nurse | 30957 Franklin Woods Ct, Franklin, MI 48025-1512 | 2020-08-12 |
| 1558972737 | Tia Seale | Registered Nurse | 19001 E 8 Mile Rd Ste 102, Eastpointe, MI 48021-3247 | 2020-08-12 |
| 1568080869 | Aubrey Michelle Dewey | Registered Nurse | 49394 Nicholette, Utica, MI 48317-2282 | 2020-07-13 |
| 1659992311 | Michelle Anne Orrell | Registered Nurse | 8431 Winona Dr, Jenison, MI 49428-9540 | 2020-05-04 |
| 1871146084 | Amber Lee Smith | Registered Nurse | 441 County Road Ml, Negaunee, MI 49866-9084 | 2019-07-17 |
| 1275193450 | Tricia Kay Rosa | Registered Nurse | 6767 Knollview Dr, Hudsonville, MI 49426-9388 | 2019-06-19 |
| 1679047278 | Margiejo D Packham | Registered Nurse | 109 W Memorial Dr, Hancock, MI 49931 | 2019-01-16 |
| 1730654732 | Christine Gabriel | Registered Nurse | 3871 Cheryl Dr, Commerce Township, MI 48382-1723 | 2018-10-05 |
| 1730685132 | Daniel Kueppers | Registered Nurse | 3505 Denton Rd, Canton, MI 48188-2107 | 2018-04-04 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 48047 |
Please comment or provide details below to improve the information on WATTS PRIMARY CARE PSC.
| 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.