Individual provider Active NPI

Cam Tu Tran Watkin, NP

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1104530856
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
862576 Issued in NV
Practice address
6786 Cavatina Ave
Las Vegas, NV 89139-6776
Phone
(808) 258-3875
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 862576 NV Primary

Addresses

Primary practice location

6786 Cavatina Ave
Las Vegas, NV 89139-6776

Mailing address

6786 Cavatina Ave
Las Vegas, NV 89139-6776
Phone (808) 258-3875

Other names 1

  • Cam Tu Thi Tran Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Tutu Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230421001881 NV Practitioner - Nurse Practitioner 9234594433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Albion Medical Group of Nevada, PCGroup PAC ID 4183891294, 23 clinicians

Practice addresses (Care Compare)

3150 N Tenaya Way
Suite 100
Las Vegas, NV 89128-0446
Phone (702) 869-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albion Medical Group of Nevada, PC CurrentSince May 1, 2023 Accepting new patients
Physicians Medical Center Kaufman, LTD Past Accepting new patients

Locations

100 N Green Valley Pkwy
Ste 220
Henderson, NV 89074
Phone (702) 944-3627

3150 N Tenaya Way
Ste 100
Las Vegas, NV 89128
Phone (702) 233-4950

3041 E Flamingo Rd
Ste A
Las Vegas, NV 89121
Phone (702) 436-0835

Interoperability endpoints

  • Direct secure messaging: camtu.watkins.p5@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: cam-tu.watkin.1@32527.direct.athenahealth.com

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1104530856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6786 CAVATINA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396776",
            "telephone_number": "808-258-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6786 CAVATINA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396776",
            "telephone_number": "808-258-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKIN",
        "first_name": "CAM TU",
        "middle_name": "TRAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "862576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tutu",
            "affiliation": "N",
            "endpointDescription": "first name x2",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "camtu",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6786 Cavatina Ave",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891396776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAM TU",
            "last_name": "TRAN",
            "middle_name": "THI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.