ANGELA LAVERNE WATKINS (NPI# 1295371649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295371649 |
| Entity Type | Individual |
| Full Name | ANGELA LAVERNE WATKINS |
| Practice Address |
22250 Providence Dr Ste 406 Southfield MI 48075-6212 |
| Mailing Address |
17030 Carriage Way Northville MI 48168-6602 |
| Practice Telephone | 2485579010 |
| Practice Fax Number | 2485573655 |
| Mailing Telephone | 3139492620 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704222141 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790923001 | Angela Watkins | Physical Therapist | 2579 Eric Ln Ste K, Burlington, NC 27215-5416 | 2009-01-23 |
| 1497950026 | Angela Stevenson Watkins | Internal Medicine | 300 N. Willson Ave #703g, Bozeman, MT 59715-3551 | 2007-06-14 |
| 1588865687 | Angela Watkins | Contractor | 7900 E Princess Dr Apt 1177, Scottsdale, AZ 85255-5861 | 2007-05-29 |
| 1659924033 | Angela M Watkins | Specialist/Technologist | 23605 Letchworth Rd, Beachwood, OH 44122-4109 | 2019-07-24 |
| 1720545999 | Angela Kay Watkins | Nurse Practitioner | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2019-02-25 |
| 1790286037 | Angela M Watkins | Behavioral Analyst | 1025 Atlantic Ave Ste 101, Alameda, CA 94501-1188 | 2018-02-22 |
| 1932573508 | Angela Watkins | Counselor | 3450 Highway 80 W, Jackson, MS 39209 | 2015-11-19 |
| 1326434093 | Angela Watkins | Social Worker | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2015-04-09 |
| 1225378409 | Angela Watkins | Occupational Therapy Assistant | 911 E 86th St, Suite 107, Indianapolis, IN 46240-1850 | 2013-02-25 |
| 1457581225 | Angela Ladawn Watkins | Counselor | 628 E Creek Ave, Mcalester, OK 74501-6930 | 2009-07-15 |
| Street Address |
22250 PROVIDENCE DR STE 406 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-6212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306111463 | Yassir Sirajeldin | Internal Medicine | 22250 Providence Dr Ste 406, Southfield, MI 48075-6212 | 2012-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932446 | Adina Derecichei Parrish | Nurse Practitioner | 22255 Greenfield Rd Ste 422, Southfield, MI 48075-3730 | 2019-10-04 |
| 1447813092 | Violette Abellera Concepcion | Nurse Practitioner | 17515 W 9 Mile Rd Ste 200, Southfield, MI 48075-4404 | 2019-04-18 |
| 1083172878 | Jaafer Beydoun | Nurse Practitioner | 20180 W 12 Mile Rd Ste 200, Southfield, MI 48076-5412 | 2019-03-11 |
| 1902398787 | Fatoumata Moukir Ndukwe | Nurse Practitioner | 24450 Evergreen Road, 215, Southfield, MI 48075-2022 | 2018-06-06 |
| 1861984817 | Danielle Marguerite Macintosh | Nurse Practitioner | 25130 Southfield Rd Ste 120, Southfield, MI 48075-1900 | 2018-06-05 |
| 1609393313 | Kimiko Parks | Nurse Practitioner | 29866 Spring Hill Dr, Southfield, MI 48076-5735 | 2017-08-23 |
| 1497114904 | Madeline Jenkins Succar | Nurse Practitioner | 16310 W 12 Mile Rd, Southfield, MI 48076-2925 | 2016-02-12 |
| 1629457213 | Deanna Chew | Nurse Practitioner | 20905 Greenfield Rd Ste 406, Southfield, MI 48075-5348 | 2015-05-28 |
| 1831591551 | Zahera Husaini | Nurse Practitioner | 20905 Greenfield Rd Ste 502, Southfield, MI 48075-5351 | 2014-09-25 |
| 1902044308 | Gail Lee Johnson | Nurse Practitioner | 26957 Northwestern Hwy, Suite 400, Southfield, MI 48033-4700 | 2009-01-23 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on ANGELA LAVERNE 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.