MATTHEW WATSON (NPI# 1972037570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972037570 |
| Entity Type | Individual |
| Full Name | MATTHEW WATSON |
| Practice Address |
2285 Benton Rd Suite D-103 Bossier City LA 71111 |
| Mailing Address |
2285 Benton Rd Suite D-103 Bossier City LA 71111-7933 |
| Practice Telephone | 3185847197 |
| Mailing Telephone | 3185847197 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629571 | Matthew Alexander Watson | Nurse Practitioner | 9040 Jackson Ave Jay Clinic Jay Clinic, Tacoma, WA 98431-4712 | 2017-10-11 |
| 1407223860 | Matthew Ryan Watson | Registered Nurse | 1370 116th Ave Ne Ste 106, Bellevue, WA 98004-3831 | 2015-09-01 |
| 1588990295 | Matthew L Watson | Optometrist | 6191 S State St Ste 301, Murray, UT 84107-7270 | 2009-10-30 |
| 1447468210 | Matthew Mendioro Watson | Internal Medicine | 10 Harris Ct Ste A2, Monterey, CA 93940-7823 | 2007-05-17 |
| 1952398802 | Matthew Jude Watson | Optometrist | 42 S Franklin St, Nyack, NY 10960 | 2005-10-05 |
| 1619529351 | Matthew Tyler Watson | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-07-12 |
| 1790243061 | Matthew Watson | Clinical Exercise Physiologist | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2019-03-06 |
| 1275066441 | Matthew Watson | Student in an Organized Health Care Education/Training Program | 960 E 3rd St, Suite 104, Chattanooga, TN 37403-2104 | 2017-04-05 |
| 1588044465 | Matthew Watson | Counselor | 8237 Oak St, Studio B, New Orleans, LA 70118-2041 | 2015-06-04 |
| 1578951851 | Matthew Watson | Physical Therapy Assistant | 1515 N Alexandria Ave, Los Angeles, CA 90027-5203 | 2015-01-08 |
| Street Address |
2285 BENTON RD SUITE D-103 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093711368 | Eric J Leblanc | Dentist | 2285 Benton Rd, Ste C100, Bossier City, LA 71111-3465 | 2005-06-22 |
| 1447712807 | Samantha Jouglard | Behavioral Analyst | 2285 Benton Rd, Bossier City, LA 71111-7933 | 2019-04-04 |
| 1154899490 | Whitney Stewart | Behavioral Analyst | 2285 Benton Rd, Bossier City, LA 71111-7933 | 2018-11-05 |
| 1053835033 | Kimberly Autry | Counselor | 2285 Benton Rd, Ste D-103, Bossier City, LA 71111 | 2017-08-01 |
| 1194258368 | Monica Wilson | Counselor | 2285 Benton Rd, Suite D-103, Bossier City, LA 71111 | 2017-04-05 |
| 1932631470 | Sara Ashley Minard | Speech-Language Pathologist | 2285 Benton Rd, Suite C200, Bossier City, LA 71111-7933 | 2017-04-03 |
| 1669903472 | Shantieria Ray | Case Manager/Care Coordinator | 2285 Benton Rd, Suite D-103, Bossier City, LA 71111-7933 | 2017-03-23 |
| 1124559216 | Lindsay Salter | Speech-Language Pathologist | 2285 Benton Rd, Suite C-200, Bossier City, LA 71111-7933 | 2017-03-21 |
| 1487194221 | Earl Bloomer | Counselor | 2285 Benton Rd, Suite D-103, Bossier City, LA 71111 | 2017-02-27 |
| 1396285359 | Michael Roberts | Behavioral Analyst | 2285 Benton Rd, Bossier City, LA 71111-7933 | 2017-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998652 | Jennifer Leigh Grigsby | Case Manager/Care Coordinator | 2826 Misty Ln Apt 130, Bossier City, LA 71111-3253 | 2020-10-05 |
| 1124637517 | Dawn Marie Vaughan | Case Manager/Care Coordinator | 1231 Olwen Dr, Bossier City, LA 71111-2734 | 2020-07-30 |
| 1912545492 | Kenya Nelson | Case Manager/Care Coordinator | 2564 Downs Cir, Bossier City, LA 71111-5117 | 2019-12-16 |
| 1568000354 | Khayla Quave Pugh | Case Manager/Care Coordinator | 5512 Kristen Ave, Bossier City, LA 71112-4821 | 2019-12-12 |
| 1821632837 | Sherry Alfreda Carter | Case Manager/Care Coordinator | 422 Half Moon Ln, Bossier City, LA 71111-5570 | 2019-11-01 |
| 1881242287 | Jasmine Norris | Case Manager/Care Coordinator | 5005 Longstreet Pl Unit 31, Bossier City, LA 71112-4718 | 2019-08-28 |
| 1922661321 | Bonnie Prescott | Case Manager/Care Coordinator | 4629 Voss Dr, Bossier City, LA 71111-2744 | 2019-04-21 |
| 1043774441 | Ursula Luckett | Case Manager/Care Coordinator | 6014 Whitney Dr, Bossier City, LA 71111-5757 | 2019-01-30 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1538636618 | Deloris Stinson Surles | Case Manager/Care Coordinator | 2303 Stockwell Rd, Bossier City, LA 71111-5706 | 2018-10-26 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
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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.