Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437345402 Individual Practitioner Female Practitioner

Deitra Ann Watson

Prosthetist • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Deitra Watson is a registered healthcare professional specializing in Prosthetist in Fargo, ND. Practice services are available at 1011 18TH ST N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1011 18th St N
2b

Fargo, ND 581023238

Telephone 7012129200

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Fargo, ND (4 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License IL 011245235

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Massage Therapist

NUCC Taxonomy Code: 225700000X

State License IL 011245235

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 20, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2007

Registered at 1011 18TH ST N, 2B, FARGO, ND 581023238 (Tel: 7012129200)

📍
Updated Business Mailing Address December 20, 2007

Registered at 1011 18TH ST N, 2B, FARGO, ND 581023238

👤
Provider Name / Credentials Updated December 20, 2007

Recorded as DEITRA WATSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2007

Prosthetist

🟢
Initial NPI Registration & Enumeration September 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437345402
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2007
Last Update: December 20, 2007
Sole Proprietor: Yes

Mailing Address

1011 18th St N, 2b

Fargo, ND 581023238

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.