Active NPI
Zachary Charles Watt, NP
- Nurse Practitioner
- Overland Park, KS
National Provider Identifier
1033694856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 53-78356-081
- Practice address
- 11040 Oakmont St
Overland Park, KS 66210-6621 - Phone
- (913) 291-2819
- Fax
- (913) 291-1506
- NPI assigned
- Sep 27, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 53-78356-081 | KS | Primary |
Addresses
Primary practice location
11040 Oakmont St
Overland Park, KS 66210-6621
Mailing address
11040 Oakmont St
Overland Park, KS 66210-1100
Phone (913) 291-2819
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-78356-081 | KS | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1033694856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11040 OAKMONT ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662101100",
"telephone_number": "913-291-2819",
"fax_number": "913-291-1506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11040 OAKMONT ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662106621",
"telephone_number": "913-291-2819",
"fax_number": "913-291-1506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATT",
"first_name": "ZACHARY",
"middle_name": "CHARLES",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-27",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "53-78356-081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.