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Maranda Watkins

Physician β€’ Fort Smith, AR

Deactivated NPI 1952774259 Deactivated in NPPES Female Practitioner
Practice location in NPPES

601 S 21st St
Fort Smith, AR 729013914

Phone: 4792429277

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of October 13, 2023; the reason is not published. The records below are historical. They do not show whether Maranda Watkins currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date November 09, 2015
NPI Deactivation Date October 13, 2023
NPI Active Period 2015 – 2023

Practice Location & Contact Primary Location

Practice Address

601 S 21st St

Fort Smith, AR 729013914

Telephone 4792429277
Fax 4792428251
Organization at the Same NPPES Address or Phone
Pink Ribbon Boutique Inc Facility NPI 1114152568

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Fort Smith and Arkansas

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Prosthetic/Orthotic Supplier Primary Specialty

NUCC Taxonomy Code: 335E00000X

License # reported to NPPES AR 800413079

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arkansas State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated October 13, 2023

NPPES lists this NPI as deactivated as of October 13, 2023; the reason is not published.

βœ…
NPI Profile Active November 09, 2015

NPI status registered as active in NPPES database

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Practice Location (Initial Record) November 09, 2015

Registered at 601 S 21ST ST, FORT SMITH, AR 729013914 (Tel: 4792429277)

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Business Mailing Address (Initial Record) November 09, 2015

Registered at 601 S 21ST ST, FORT SMITH, AR 729013914 (Tel: 4792429277)

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Provider Name / Credentials (Initial Record) November 09, 2015

Recorded as MARANDA WATKINS

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2015

Prosthetic/Orthotic Supplier (license number reported to NPPES: AR 800413079)

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Initial NPI Registration & Enumeration November 09, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1952774259
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2015
Last Update: November 09, 2015
Deactivation Date: October 13, 2023

Mailing Address

601 S 21st St

Fort Smith, AR 729013914

Phone: 4792429277

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.