DR. STACY AILINE WATSON M.D.
NPI 1174058523
Student in an Organized Health Care Education/Training Program in Amarillo, TX

Q: What is Stacy Watson's NPI number?

The NPI number for Stacy Watson is 1174058523. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Q: What is Stacy Watson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Watson was last updated on April 24, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 24, 2017PECOS Enrolled

1400 S COULTER ST, SUITE 3500, AMARILLO, TX 79106(806) 414-9650(806) 354-5626 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Stacy Ailine Watson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACY AILINE WATSON M.D. (NPI 1174058523) is an individual student in an organized health care education/training program in Amarillo, Texas and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174058523

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. STACY AILINE WATSONCredential: M.D.

Location Address1400 S COULTER ST, SUITE 3500Amarillo, TX 79106-1786

Mailing Address1400 S Coulter St, Suite 3500Amarillo, TX 79106-1786 · (806) 414-9650 · Fax (806) 354-5626

Phone(806) 414-9650

Fax(806) 354-5626

Sole ProprietorNo

Enumeration DateApril 24, 2017

✔ NPI 1174058523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1400 S COULTER ST, Amarillo, TX 79106

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stacy Ailine Watson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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