Individual provider Active NPI

Katherine Parks Watson, FNP

  • Family Nurse Practitioner
  • Henrico, VA
National Provider Identifier
1104550433
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
501313305 Issued in VA
Practice address
3450 Mayland CT
Henrico, VA 23233-1468
Phone
(894) 484-3700
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 501313305 VA Primary

Addresses

Primary practice location

3450 Mayland CT
Henrico, VA 23233-1468

Mailing address

7520 Parkline Dr
Richmond, VA 23229-5943
Phone (804) 314-3903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20221012000558 VA Practitioner - Nurse Practitioner 1557737897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Ear Nose and Throat Associates PCGroup PAC ID 6901794999, 32 clinicians

Practice addresses (Care Compare)

3450 Mayland CT
Richmond, VA 23233-1468
Phone (804) 484-3700

Hospital & facility affiliations

  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
501313305VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Ear Nose & Throat Associates PC CurrentSince Aug 29, 2022 Accepting new patients
Virginia Ear, Nose and Throat Associates PastSince Jul 17, 2022 Accepting new patients

Locations

7485 Right Flank Rd
Ste 210
Mechanicsville, VA 23116

161 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 484-3702

4700 Puddledock Rd
Ste 100
Prince George, VA 23875
Phone (804) 484-3735

3450 Mayland Ct
Richmond, VA 23233

Interoperability endpoints

  • Direct secure messaging: katherinewatson@venta.allscriptsdirect.net

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1104550433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 PARKLINE DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295943",
            "telephone_number": "804-314-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 MAYLAND CT",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331468",
            "telephone_number": "894-484-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KATHERINE",
        "middle_name": "PARKS",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "501313305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.