MELISSA WATSON (NPI# 1619408754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619408754 |
| Entity Type | Individual |
| Full Name | MELISSA WATSON |
| Credential | FNP-C |
| Practice Address |
3350 Executive Dr Suite 108 San Angelo TX 76904 |
| Mailing Address |
3350 Executive Dr Ste 108 San Angelo TX 76904-6878 |
| Practice Telephone | 3252454541 |
| Mailing Telephone | 3252454541 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP132931 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891185948 | Melissa Watson | Nurse Practitioner | 659 Brownswitch Rd, Slidell, LA 70458 | 2015-01-28 |
| 1285067652 | Melissa Watson | Physical Therapy Assistant | 4737 Timberland Dr, Pace, FL 32571-6218 | 2013-08-20 |
| 1184060964 | Melissa B Watson | Home Health Aide | 806 Linda Vista Dr, Manchester, OH 45144-9366 | 2013-05-20 |
| 1811238462 | Melissa Jean Watson | Registered Nurse | 4820 Adamsville Rd, Zanesville, OH 43701-8903 | 2013-03-06 |
| 1104086537 | Melissa M Watson | Physician Assistant | 216 Phoenix Ct, Suite F, Seymour, TN 37865-3914 | 2008-06-10 |
| 1225184401 | Melissa Kay Watson | Specialist/Technologist, Other | 320 E Carpenter St Ste 1a, Springfield, IL 62702-5165 | 2007-01-28 |
| 1386105559 | Melissa Erin Watson | Nurse Anesthetist, Certified Registered | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2019-03-28 |
| 1760972921 | Melissa Watson | Behavioral Analyst | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-05-14 |
| 1881191369 | Melissa Marie Watson | Nurse Practitioner | 2960 Victory Blvd, Staten Island, NY 10314-6605 | 2018-04-10 |
| 1275081507 | Melissa Watson | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st St, Bellevue, WA 98007-3720 | 2016-09-15 |
| Street Address |
3350 EXECUTIVE DR SUITE 108 |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932139953 | Michael Scott Blanc | Internal Medicine | 3350 Executive Dr, Suite 100, San Angelo, TX 76904-6878 | 2006-07-04 |
| 1518191444 | Mary Ellen Wilson | Clinical Nurse Specialist | 3350 Executive Dr, Suite 100, San Angelo, TX 76904-6878 | 2009-05-06 |
| 1023286317 | Kai M Sun | Internal Medicine | 3350 Executive Dr, Suite 100, San Angelo, TX 76904-6878 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1487269064 | Delilah Deguire-guerra | Nurse Practitioner | 143 Oakwood St, San Angelo, TX 76903-8631 | 2020-09-10 |
| 1215571914 | Dawn Cumbie Burwick | Nurse Practitioner | 431 W 34th St, San Angelo, TX 76903-2323 | 2019-11-05 |
| 1033767504 | Kate Elizabeth Young | Nurse Practitioner | 1621 Iowa Ave, San Angelo, TX 76904-6888 | 2019-08-28 |
| 1760034698 | Lisbet Ivicic | Nurse Practitioner | 351 Kearney Blvd, San Angelo, TX 76908-3215 | 2019-07-11 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1487096665 | Mary Beth Luttrell | Nurse Practitioner | 1610s Chadbourne St, San Angelo, TX 76903-8510 | 2013-07-29 |
| 1336490614 | Toyha Drew Harper | Nurse Practitioner | 1601 S Chadbourne St, San Angelo, TX 76903-8509 | 2012-09-26 |
| 1992944565 | Kathe Ann Conner | Nurse Practitioner | 1901 Johnson St, San Angelo, TX 76909-0001 | 2009-02-05 |
| 1083859946 | David Earl Cooper | Nurse Practitioner | 1825 Christoval Rd, San Angelo, TX 76903-8602 | 2008-12-06 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
Please comment or provide details below to improve the information on MELISSA 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.