Active NPI
Alta Louise Watkins, PA
- Physician Assistant
- Watertown, NY
National Provider Identifier
1073625513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 006163
- Practice address
- 513 Washington St
Suite 1
Watertown, NY 13601-4001 - Phone
- (315) 788-2211
- Fax
- (315) 788-0956
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 006163 | NY | Primary |
Addresses
Primary practice location
513 Washington St
Suite 1
Watertown, NY 13601-4001
Mailing address
513 Washington St
Watertown, NY 13601-4001
Phone (315) 788-2211
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006163 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Adolescent Health Associates | Past | Accepting new patients |
Interoperability endpoints
- awatkins@cahclinics.medentdirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Watertown, NY
- NPI 1861589384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073625513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 WASHINGTON ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136014001",
"telephone_number": "315-788-2211",
"fax_number": "315-788-0956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 WASHINGTON ST",
"address_2": "SUITE 1",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136014001",
"telephone_number": "315-788-2211",
"fax_number": "315-788-0956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "ALTA",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "006163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.