Active NPI
Cecelia Watson, FNP
- Family Nurse Practitioner
- Nome, AK
National Provider Identifier
1063485613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 817
- Practice address
- 1000 Greg Kruschek Ave
Nome, AK 99762-0966 - Phone
- (907) 443-3311
- Fax
- (907) 443-4594
- NPI assigned
- Feb 13, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 817 | AK | Primary |
Addresses
Primary practice location
1000 Greg Kruschek Ave
Nome, AK 99762-0966
Mailing address
PO Box 966
Nome, AK 99762-0966
Phone (907) 443-3311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP0817 | Medicaid | AK |
Other names 1
- Cecelia Adkins
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 |
|---|---|---|---|
| 817 | AK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1063485613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 966",
"city": "NOME",
"state": "AK",
"postal_code": "997620966",
"telephone_number": "907-443-3311",
"fax_number": "907-443-4594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 GREG KRUSCHEK AVE",
"city": "NOME",
"state": "AK",
"postal_code": "997620966",
"telephone_number": "907-443-3311",
"fax_number": "907-443-4594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "CECELIA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP0817",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CECELIA",
"last_name": "ADKINS",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Nome, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.