Active NPI
Abigail Watkins
- Family Nurse Practitioner
- Louisville, KY
National Provider Identifier
1003645441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4058930
- Practice address
- 845 S 3Rd St
Louisville, KY 40203-2213 - Phone
- (859) 432-5053
- NPI assigned
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1165862 | KY | |
| Family Nurse Practitioner | 363LF0000X | 4058930 | KY | Primary |
Addresses
Primary practice location
845 S 3Rd St
Louisville, KY 40203-2213
Mailing address
21 Locust Dr
Winchester, KY 40391-1718
Other practice location 1
308 W Maple Ave
Lancaster, KY 40444-1005
Phone (731) 394-1145
Other practice location 2
131 Meadowlark Dr
Richmond, KY 40475-2235
Phone (731) 394-1145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
131 Meadowlark Dr
Richmond, KY 40475-2235
Phone (731) 394-1145
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1165862 | KY | MD | Registered Nurse |
| 4058930 | KY | MD | Family Nurse Practitioner |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1366307696
KY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1003645441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 LOCUST DR",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403911718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 S 3RD ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032213",
"telephone_number": "859-432-5053"
}
],
"practiceLocations": [
{
"address_1": "308 W Maple Ave",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "KY",
"postal_code": "404441005",
"country_code": "US",
"telephone_number": "731-394-1145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "131 Meadowlark Dr",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "KY",
"postal_code": "404752235",
"country_code": "US",
"telephone_number": "731-394-1145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATKINS",
"first_name": "ABIGAIL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-01",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1165862",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4058930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.