Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Diane E. Childers-Watson, PA

Individual provider Physician Assistant · NPI 1114983079

MS. Diane E. Childers-Watson, PA is a Physician Assistant in Scottsdale, Arizona. Qualified in 2005, 21 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
21
Licensed in
AZ
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3286 (AZ)

Record details

NPI number1114983079
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 20, 2006
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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