Individual provider Active NPI

Lauren Nicole Watts, ARNP

  • Family Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1144910365
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4000411 Issued in KY
Practice address
14949 N US Highway 25 E Ste 3
Corbin, KY 40701-6285
Phone
(606) 280-4212
NPI assigned
May 10, 2023
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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 4000411 KY Primary

Addresses

Primary practice location

14949 N US Highway 25 E Ste 3
Corbin, KY 40701-6285

Mailing address

14949 N US Highway 25 E Unit B
Corbin, KY 40701-6285
Phone (606) 280-4212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240322002449 KY Practitioner - Nurse Practitioner 9436513215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Family Health Inc. CurrentSince Aug 18, 2024 Accepting new patients
Trinity Family Health, PLLC Family Past Accepting new patients
Trinity Family Health Inc. Past Accepting new patients

Locations

14949 N US Highway 25 E
Ste 3
Corbin, KY 40701
Phone (606) 280-4212

14949 N US Highway 25 E
Ste 6
Corbin, KY 40701
Phone (606) 528-2160

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1144910365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14949 N US HIGHWAY 25 E UNIT B",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407016285",
            "telephone_number": "606-280-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14949 N US HIGHWAY 25 E STE 3",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407016285",
            "telephone_number": "606-280-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4000411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.