Kesha Watkins, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F4177 Issued in SC

Practice address

1228 Harden St
Columbia, SC 29204-1800

Phone

(803) 733-5969

Fax

(803) 748-9953

NPI assigned

Apr 26, 2010

Reactivated

Jun 10, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1083931372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 HARDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041800",
            "telephone_number": "803-733-5969",
            "fax_number": "803-748-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 HARDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041800",
            "telephone_number": "803-733-5969",
            "fax_number": "803-748-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "KESHA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2012-07-19",
        "deactivation_date": "2010-05-06",
        "reactivation_date": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F4177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1834",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carroll B Watford, MD
• Allison Watkins, NP-C
• Amy Marion Watkins, LPC, CACII, LPCS
• Carolyn Barnette Watkins, M.A.,R.D.,R.N.,C.D.E
• Cecily Watkins
• Taylor Marie Watkins, DC
• Jane Elizabeth Watson Alford, M.D.
• Althea G. Watson, M.AUD
• Amy Watson, APRN
• Andrea Claire Watson, LPC, M.A.

• Family Nurse Practitioner in Columbia, SC
• Providers in Columbia, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.