Provider Demographics
NPI:1871399584
Name:WATSON, SHAMEKA (IBCLC)
Entity type:Individual
Prefix:MRS
First Name:SHAMEKA
Middle Name:
Last Name:WATSON
Suffix:
Gender:
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 EDITH KEY ST
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-2241
Mailing Address - Country:US
Mailing Address - Phone:757-329-4776
Mailing Address - Fax:
Practice Address - Street 1:13 EDITH KEY ST
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-2241
Practice Address - Country:US
Practice Address - Phone:757-329-4776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-22
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAL-315074174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN