DR. AMBER LAINE WATSON DO
NPI 1346823853
Student in an Organized Health Care Education/Training Program in Johnson City, TN

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 03, 2021PECOS Enrolled

917 W WALNUT ST, JOHNSON CITY, TN 37604(423) 439-6464(423) 439-7118 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 4, 2021, May 3, 2021 (2 updates tracked since 2021).

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About Dr. Amber Laine Watson Do NPPES

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

DR. AMBER LAINE WATSON DO (NPI 1346823853) is an individual student in an organized health care education/training program in Johnson City, Tennessee and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346823853

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. AMBER LAINE WATSONCredential: DO

Location Address917 W WALNUT STJohnson City, TN 37604-6527

Mailing Address917 W Walnut StJohnson City, TN 37604-6527 · (423) 439-6464 · Fax (423) 439-7118

Phone(423) 439-6464

Fax(423) 439-7118

Sole ProprietorNo

Enumeration DateMay 3, 2021

Last NPPES UpdateJune 4, 20212 updates tracked since enumeration

NPPES CertifiedJune 4, 2021

✔ NPI 1346823853 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.

917 W WALNUT ST, Johnson City, TN 37604

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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. Amber Laine Watson Do 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.