RENIKA MARIE WATSON (NPI# 1992361380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992361380 |
| Entity Type | Individual |
| Full Name | RENIKA MARIE WATSON |
| Practice Address |
4907 Niagara Rd Ste 102 College Park MD 20740-1100 |
| Mailing Address |
7761 Normandy Rd Hyattsville MD 20785-2739 |
| Practice Telephone | 2404122974 |
| Mailing Telephone | 2024248637 |
| Enumeration Date | 2019-05-12 |
| Last Update Date | 2019-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | M05247 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4907 NIAGARA RD STE 102 |
| City | COLLEGE PARK |
| State | MD |
| Zip Code | 20740-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821519737 | Thomas Roger Jordan | Massage Therapist | 4907 Niagara Rd Ste 102, College Park, MD 20740-1100 | 2017-06-30 |
| 1346721594 | Charles Mcbride | Massage Therapist | 4907 Niagara Rd Ste 102, College Park, MD 20740 | 2018-08-26 |
| 1073092490 | Sean Esquipula Schultz | Massage Therapist | 4907 Niagara Rd Ste 102, College Park, MD 20740-1100 | 2018-08-07 |
| 1902324965 | Denesha Jiles | Massage Therapist | 4907 Niagara Rd Ste 102, College Park, MD 20740-1100 | 2017-08-30 |
| 1285150532 | Angela Marie Banks-smith | Massage Therapist | 4907 Niagara Rd Ste 102, College Park, MD 20740-1100 | 2017-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147633 | S.a.f.e. Counseling Services LLC | Counselor | 6210 Greenbelt Road, L 4, Berwyn Heights, MD 20740 | 2020-02-23 |
| 1326528621 | Ryan Rehabilitation LLC | Counselor | 7100 Baltimore Ave Ste 105, College Park, MD 20740 | 2018-08-16 |
| 1760981120 | L. Jones-dove & Associates Tooth Spa LLC | Dentist | 6103 Greenbelt Road, College Park, MD 20740 | 2018-02-12 |
| 1538682257 | Heather Gambacorto | Behavior Technician | 3525 Marlbrough Way, College Park, MD 20740 | 2017-07-25 |
| 1841722691 | Bradley Weitzel | Specialist/Technologist | 4068 Field House Drive, College Park, MD 20740 | 2017-03-31 |
| 1083152284 | Kabrima Y Petty | Nurse Practitioner | 10201 Baltimore Ave Apt 5102, College Park, MD 20740 | 2017-02-08 |
| 1659728517 | Brownstone Project In Md | Community/Behavioral Health | 6201 Greenbelt Rd Ste M6, Berwyn Heights, MD 20740 | 2016-05-20 |
| 1114371093 | Thomas Lowell Bennett | Specialist/Technologist | 7675 Baltimore Ave, R 0100, College Park, MD 20740 | 2016-04-18 |
| 1306226808 | Linda Ronma Williams | Nurse Practitioner | 4701 Melbourne Place, College Park, MD 20740 | 2015-06-01 |
| 1124427927 | Sarah Elizabeth Woerner | Pharmacist | 7300 Baltimore Boulevard, College Park, MD 20740 | 2014-08-18 |
| Find all providers in zip 20740 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653304 | Safayia Paine | Massage Therapist | 1420 Cambridge Ave, College Park, GA 30337-2208 | 2020-09-15 |
| 1821519737 | Thomas Roger Jordan | Massage Therapist | 4907 Niagara Rd Ste 102, College Park, MD 20740-1100 | 2017-06-30 |
| 1497209670 | Gina Green | Massage Therapist | 850 Rock Shoals Ct, College Park, GA 30349-7332 | 2016-08-05 |
| 1104179837 | Marquise Calhoun James | Massage Therapist | 1782 Lyle Ave, Unit 2, College Park, GA 30337 | 2012-10-18 |
| 1285984864 | Tiffani Morrow | Massage Therapist | 3695 Morning Creek Dr, College Park, GA 30349-3582 | 2012-09-11 |
| 1972822468 | Linda L Myree | Massage Therapist | 639 Garden Walk Blvd, Apt 825, College Park, GA 30349-6676 | 2010-05-23 |
| 1346721594 | Charles Mcbride | Massage Therapist | 4907 Niagara Rd Ste 102, College Park, MD 20740 | 2018-08-26 |
| 1073092490 | Sean Esquipula Schultz | Massage Therapist | 4907 Niagara Rd Ste 102, College Park, MD 20740-1100 | 2018-08-07 |
| 1902324965 | Denesha Jiles | Massage Therapist | 4907 Niagara Rd Ste 102, College Park, MD 20740-1100 | 2017-08-30 |
| 1285150532 | Angela Marie Banks-smith | Massage Therapist | 4907 Niagara Rd Ste 102, College Park, MD 20740-1100 | 2017-08-18 |
| Find all providers in COLLEGE PARK | ||||
| City | COLLEGE PARK |
| Zip Code | 20740 |
Please comment or provide details below to improve the information on RENIKA MARIE 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.