DR. THOMAS L WATTERSON (SLP / PHD) – Speech-Language Pathologist, NPI 1396729661

DR. THOMAS L WATTERSON (SLP / PHD) is a healthcare provider. based in Reno, Nevada. specializing in Speech-Language Pathologist. They hold the professional credentials SLP / PHD. They hold a License No. SP142 (NV). The NPI Number for DR. THOMAS L WATTERSON (SLP / PHD) is 1396729661

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS L WATTERSON (SLP / PHD)
NPI
1396729661
Phone
(775) 784-4887
Address
1664 N VIRGINIA ST
Enumeration Date
1 December 2005
Last Update Date
5 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7757847500
Graduation Year
1976 (50 years ago)
PAC ID
8426105586
Group Practice PAC ID
2860305695
Professional Enrollment ID
I20101111001413
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. THOMAS L WATTERSON (SLP / PHD)

  • University of Nevada, Reno, 1664, North Virginia Street, Reno, Washoe County, Nevada, 89557, United States

    MAIL STOP 152, REDFIELD MEDICAL BLDG.

    RENO, NV 895570152

    Phone: (775) 784-4887

    Fax: (775) 784-4095

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101111001413IQualified Speech Language PathologistNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89557)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860305695View full group profile

Reviews

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Frequently asked questions

Is DR. THOMAS L WATTERSON (SLP / PHD) listed with a National Provider Identifier?
Yes — DR. THOMAS L WATTERSON (SLP / PHD) has NPI 1396729661 on file in the registry.
Is DR. THOMAS L WATTERSON (SLP / PHD) shown as active in public data?
Registry records indicate DR. THOMAS L WATTERSON (SLP / PHD) maintains an active NPI.
What expertise is attributed to DR. THOMAS L WATTERSON (SLP / PHD)?
DR. THOMAS L WATTERSON (SLP / PHD)'s specialty line reads Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Is DR. THOMAS L WATTERSON (SLP / PHD) located near Reno?
DR. THOMAS L WATTERSON (SLP / PHD) currently maps to Reno, Nevada in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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