MARY M WATSON (NPI# 1477104230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477104230 |
| Entity Type | Individual |
| Full Name | MARY M WATSON |
| Practice Address |
110 N 175th St Ste 1000 Omaha NE 68118-3581 |
| Mailing Address |
Po Box 24607 Omaha NE 68124-0607 |
| Practice Telephone | 4029555437 |
| Practice Fax Number | 4029557310 |
| Mailing Telephone | 4029555400 |
| Mailing Fax Number | 4029553674 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
112802 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730584632 | Mary Nelson Watson | Internal Medicine | 13679 Stevens Point Dr, Frisco, TX 75033-0416 | 2014-11-04 |
| 1871826321 | Mary Margaret Watson | Registered Nurse | 28764 Ryan Rd, Warren, MI 48092-2521 | 2009-09-16 |
| 1760675417 | Mary Bunker Watson | Nurse Practitioner | 6109 Electra Ln, Pensacola, FL 32507-8117 | 2007-08-24 |
| 1467653139 | Mary Patricia Watson | Nurse Practitioner | 1201 Locust Avenue, Fairmont State University Student Health, Fairmont, WV 26554 | 2007-05-30 |
| 1093841280 | Mary Ann Watson | Counselor | 1012 N 5th Ave Ne, Rome, GA 30165-2602 | 2007-02-24 |
| 1366591521 | Mary Ann Watson | Home Health Aide | 3606 Plymouth Ridge Rd, Kingsville, OH 44048-7781 | 2007-01-09 |
| 1639236201 | Mary Ann Watson | Psychologist | 1490 Lafayette Street, Suite 105a, Denver, CO 80218-2391 | 2007-01-03 |
| 1528001989 | Mary J Watson | Psychologist | 2406 Oak Landing Drive, Brandon, FL 33511-7607 | 2006-06-14 |
| 1972577021 | Mary Alaynick Watson | Psychiatry & Neurology | 2855 W State Route 89a Ste 2, Sedona, AZ 86336-5100 | 2006-02-15 |
| 1467445965 | Mary Tally Watson | Optometrist | 7880 Old Madison Pike, Madison, AL 35758-1435 | 2005-08-30 |
| Street Address |
110 N 175TH ST STE 1000 |
| City | OMAHA |
| State | NE |
| Zip Code | 68118-3581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740658905 | Amy N Janousek | Nurse Practitioner | 110 N 175th St Ste 1000, Children's Hospital & Medical Center Urgent Care, Omaha, NE 68118-3581 | 2015-09-04 |
| 1487295580 | Michelle M Placek | Nurse Practitioner | 110 N 175th St Ste 1000, Omaha, NE 68118-3581 | 2019-10-01 |
| 1467003608 | Kari J Pokorski | Nurse Practitioner | 110 N 175th St Ste 1000, Omaha, NE 68118-3581 | 2019-09-27 |
| 1730659616 | Megan D Norris | Physician Assistant | 110 N 175th St Ste 1000, Omaha, NE 68118-3581 | 2018-12-04 |
| 1336517598 | Amanda E Hall | Nurse Practitioner | 110 N 175th St Ste 1000, Children's Hospital & Medical Center Urgent Care, Omaha, NE 68118-3581 | 2015-09-04 |
| 1902274152 | Laurie W Berglund | Nurse Practitioner | 110 N 175th St Ste 1000, Children's Hospital & Medical Center Urgent Care, Omaha, NE 68118-3581 | 2015-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932644127 | Renal Care Group of The Midwest, Inc. | Clinic/Center | 15801 West Dodge Road, Omaha, NE 68118 | 2016-12-27 |
| 1982091583 | Andrew Siref | Student in an Organized Health Care Education/Training Program | 16622 Howard Cir, Omaha, NE 68118 | 2015-04-21 |
| 1942628839 | Deirdre Anne Stolmeier | Dermatology | 515 N 162nd Ave Ste 302, Omaha, NE 68118 | 2014-03-28 |
| 1457625782 | James Clark | Pharmacist | 16130 Parker St, Omaha, NE 68118 | 2012-03-05 |
| 1619102613 | Children's West Village Pointe - Diagnostic Services | Spec/Tech, Pathology | 110 North 175 Street, Children's West Village Pointe - Diagnostic Services, Omaha, NE 68118 | 2009-05-19 |
| 1033359732 | Children's Hospital | Pediatrics | 110 North 175 Street, Suite 1000, Children's Hospital - Urgent Care - West Village Pointe, Omaha, NE 68118 | 2009-02-20 |
| 1285802538 | Becker Chiropractic LLC | Chiropractor | 17785 Mason St, Suite 101, Omaha, NE 68118 | 2008-02-20 |
| 1598940611 | Dane Patrick Becker | Chiropractor | 17785 Mason St., Suite 101, Omaha, NE 68118 | 2008-01-08 |
| 1700951779 | Karoline S Anderson | Pediatrics | 16811 Burke Street, Ste 101, Omaha, NE 68118 | 2006-11-22 |
| 1154435691 | Scott M Debates | Dermatology | 515 N 162nd Avennue, Ste. 302, Omaha, NE 68118 | 2006-08-19 |
| Find all providers in zip 68118 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048314 | Rabia Moukrad | Nurse Practitioner | 4951 Center St Ste 200, Omaha, NE 68106-3252 | 2019-11-20 |
| 1790327195 | Joseph A Anthone | Nurse Practitioner | 12728 Augusta Ave Fl 2, Omaha, NE 68144-3702 | 2019-10-17 |
| 1063932028 | Laura Beth Boon | Nurse Practitioner | 989500 Nebraska Medical Ctr Fl Center5, Omaha, NE 68198-9500 | 2017-06-21 |
| 1578010955 | Jyllyan Christine Halldorson | Nurse Practitioner | 3814 S 186th Ave, Omaha, NE 68130-6029 | 2016-09-02 |
| 1053349142 | Kathleen Ann Popelka | Nurse Practitioner | Vamc (11ac), 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2006-06-29 |
| 1487636650 | Debra Crisalli Saure | Nurse Practitioner | 602 N. 20 Th Street, Suite 1034 Harper Center, Omaha, NE 68131 | 2005-11-15 |
| 1518566363 | Rhonna Lynn Mcintyre | Nurse Practitioner | 6818 Grover St Ste 200, Omaha, NE 68106-3632 | 2020-10-22 |
| 1487295580 | Michelle M Placek | Nurse Practitioner | 110 N 175th St Ste 1000, Omaha, NE 68118-3581 | 2019-10-01 |
| 1992346050 | Whitney R Hoskins | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2019-09-30 |
| 1467003608 | Kari J Pokorski | Nurse Practitioner | 110 N 175th St Ste 1000, Omaha, NE 68118-3581 | 2019-09-27 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on MARY M WATSON.
| 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.