MISS KORAN BIANCA WATSON
NPI 1174162572
Dietitian, Registered in Philadelphia, PA

Q: What is Koran Watson's NPI number?

The NPI number for Koran Watson is 1174162572. It was assigned to this individual provider in the NPPES registry on January 2, 2020.

Q: What is Koran Watson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Koran Watson was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 02, 2020

21 S 11TH ST, PHILADELPHIA, PA 19107(267) 209-3245(267) 907-8591 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2022, Dec 20, 2021, Mar 16, 2021 and 2 more (5 updates tracked since 2020).

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About Miss Koran Bianca Watson NPPES

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

MISS KORAN BIANCA WATSON (NPI 1174162572) is an individual dietitian, registered in Philadelphia, Pennsylvania, licensed in Pennsylvania (DN0006020) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1174162572

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMISS KORAN BIANCA WATSON

Location Address21 S 11TH STPhiladelphia, PA 19107-4223

Mailing Address21 S 11th StPhiladelphia, PA 19107-4223 · (267) 209-3245 · Fax (267) 907-8591

Phone(267) 209-3245

Fax(267) 907-8591

Sole ProprietorNo

Enumeration DateJanuary 2, 2020

Last NPPES UpdateAugust 12, 20225 updates tracked since enumeration

NPPES CertifiedAugust 12, 2022

✔ NPI 1174162572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in PA · DN0006020✔ Licensed in PA · DN006020

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

21 S 11TH ST, Philadelphia, PA 19107

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Other Identifiers 1

OtherDN006020PA · Pa Nursing Broad

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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