Active NPI
Jennifer Watkins
- Registered Nurse
- Fayetteville, AR
National Provider Identifier
1033526462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R074303
- Practice address
- 6363 W Wedington Dr
Fayetteville, AR 72704-5839 - Phone
- (479) 800-4185
- Fax
- (479) 316-0372
- NPI assigned
- Jul 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R074303 | AR | Primary |
Addresses
Primary practice location
6363 W Wedington Dr
Fayetteville, AR 72704-5839
Mailing address
6363 W Wedington Dr
Fayetteville, AR 72704-5839
Phone (479) 800-4185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R074303 | AR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1033526462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6363 W WEDINGTON DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727045839",
"telephone_number": "479-800-4185",
"fax_number": "479-316-0372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6363 W WEDINGTON DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727045839",
"telephone_number": "479-800-4185",
"fax_number": "479-316-0372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-17",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R074303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
- Kristi Michelle Washington, LPC, LMFT
- Melissa Anne Waterhouse, PHARMD
- Watkins Family Health & Counseling, Inc.
- Watkins Family Health & Counseling, Inc.
- Charla M Watkins, DNP, FNP-BC, BC
- Mary Ramsey Watkins
- Meredith L Watkins, LPC
- Parker Watkins, DC
- Sarah Watkins
- Watson Speech and Hearing Specialists
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.