KRISTINE MYERS WATSON (NPI# 1932136694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932136694 |
| Entity Type | Individual |
| Full Name | KRISTINE MYERS WATSON |
| Credential | L.C.P.C. |
| Practice Address |
535 Ocean Ave Portland ME 04103-4973 |
| Mailing Address |
41 Glenwood Ave Portland ME 04103-3018 |
| Practice Telephone | 2077750366 |
| Mailing Telephone | 2077750366 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC221 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM PROVIDER NUMBER | 047365 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528389285 | Kristine Diane Watson | Massage Therapist | 461 Wind River Rd, Carson, WA 98610 | 2010-06-17 |
| 1235160854 | Kristine Joyce Watson | Nurse Practitioner | 715 Dorseyville Rd, Pittsburgh, PA 15238-1113 | 2006-07-05 |
| 1588225775 | Kristine Alison Watson | Nurse Practitioner | 969 Lakeland Dr, Jackson, MS 39216-4606 | 2019-06-27 |
| Street Address |
535 OCEAN AVE |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-4973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629883 | Carol Rebecca Ward | Specialist | 535 Ocean Ave, Portland, ME 04103-4973 | 2005-06-17 |
| 1336546738 | Chelsea Fyrberg | Nutritionist | 535 Ocean Ave, Portland, ME 04103-4973 | 2014-12-01 |
| 1780097048 | Sage Wellness LLC | Massage Therapist | 535 Ocean Ave, Suite 1, Portland, ME 04103-4973 | 2014-06-04 |
| 1548687981 | Sara L Cameron | Advanced Practice Midwife | 535 Ocean Ave, Portland, ME 04103-4973 | 2014-03-24 |
| 1437594108 | Beth Matthews | Massage Therapist | 535 Ocean Ave, Portland, ME 04103-4973 | 2013-05-07 |
| 1639423106 | Devan Pearl Wojcik | Massage Therapist | 535 Ocean Ave, Suite 1, Portland, ME 04103-4973 | 2012-11-05 |
| 1396004354 | Kate E Somerville | Massage Therapist | 535 Ocean Ave, Portland, ME 04103-4973 | 2012-05-11 |
| 1629337910 | Karen Deyesso | Massage Therapist | 535 Ocean Ave, Portland, ME 04103-4973 | 2012-05-08 |
| 1760763155 | Karen L. Roberts, D.o. Professional Corporation | Neuromusculoskeletal Medicine & OMM | 535 Ocean Ave, Portland, ME 04103-4973 | 2011-08-30 |
| 1639469521 | Anne M Rainville, Md LLC | Obstetrics & Gynecology | 535 Ocean Ave, Portland, ME 04103-4973 | 2011-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
| 1902412166 | Peter H Addy LLC | Counselor | 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 | 2020-09-22 |
| 1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
| 1750996104 | Sara Fuller | Counselor | 3016 Ne 70th Ave, Portland, OR 97213-5802 | 2020-09-12 |
| 1114532983 | Matthew W Cronin | Counselor | 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 | 2020-09-09 |
| 1447865381 | Luke Colbourn | Counselor | 2705 E Burnside St Ste 206, Portland, OR 97214-1768 | 2020-09-08 |
| 1710599774 | Abigail Kathryn Ernst | Counselor | 1020 Sw Taylor St # 100, Portland, OR 97205-2543 | 2020-08-20 |
| Find all providers in PORTLAND | ||||
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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.