Individual provider Active NPI

Leigh Ann Watts, AUD, CCC-A

  • Audiologist
  • Ocala, FL
National Provider Identifier
1043358260
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY782 Issued in FL
Practice address
1847 SW 1St Ave
Ocala, FL 34474-5167
Phone
(352) 629-4418
Fax
(352) 351-4522
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY782 FL Primary

Addresses

Primary practice location

1847 SW 1St Ave
Ocala, FL 34474-5167

Mailing address

1847 SW 1St Ave
Ocala, FL 34474-5167
Phone (352) 629-4418

Other identifiers 2

IdentifierTypeStateIssuer
600196300MedicaidFL
S1538OtherFLBLUECROSS AND BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120510000505 FL Practitioner - Qualified Audiologist 5799946836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2102 SW 20TH PL
Suite 603
Ocala, FL 34471-6302
Phone (352) 629-4418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beneficial Hearing Aid Center, LLC Audiologist CurrentSince Dec 3, 2018 Accepting new patients
Medical Management of Ocala Inc Past Accepting new patients

Locations

2102 SW 20th Pl
Ste 402
Ocala, FL 34471

2102 SW 20th Pl
Ste 603
Ocala, FL 34471
Phone (352) 629-4418

1847 SW 1st Ave
Ocala, FL 34471
Phone (352) 629-4418

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1043358260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745167",
            "telephone_number": "352-629-4418",
            "fax_number": "352-351-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745167",
            "telephone_number": "352-629-4418",
            "fax_number": "352-351-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600196300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS AND BLUE SHIELD",
            "identifier": "S1538",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.