Individual provider Active NPI

Kayla Nicole Watson, PMNHP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houma, LA
National Provider Identifier
1154059541
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
226781 Issued in LA
Practice address
235 Civic Center Blvd
Houma, LA 70360-5937
Phone
(985) 333-2020
Fax
(985) 851-0162
NPI assigned
Aug 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 226781 LA Primary

Addresses

Primary practice location

235 Civic Center Blvd
Houma, LA 70360-5937

Mailing address

330 Oak Harbor Blvd. Suite B #1034
Slidell, LA 70458
Phone (504) 350-2800

Other practice location 1

330 Oak Harbor Blvd
Suite B # 1034
Slidell, LA 70458
Phone (504) 350-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240808002009 LA Practitioner - Nurse Practitioner 7911444914
I20251218001340 NC Practitioner - Nurse Practitioner 7911444914 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
Brynn Marr Hospital, Inc.Group PAC ID 7113836958, 8 clinicians

Practice addresses (Care Compare)

192 Village Dr
Jacksonville, NC 28546-7238
Phone (910) 577-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226781LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brynn Marr Hospital Inc Single Specialty CurrentSince Oct 12, 2025 Accepting new patients
The Best Version of You Mental Health and Consulting Services, LLC Single Specialty CurrentSince Jul 16, 2024 Accepting new patients
Post Trauma Institute of Louisiana PastSince Dec 1, 2022 Accepting new patients

Locations

330 Oak Harbor Blvd
Ste B
Slidell, LA 70458
Phone (504) 350-2800

192 Village Dr
Jacksonville, NC 28546
Phone (910) 577-1400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1154059541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 OAK HARBOR BLVD. SUITE B #1034",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "504-350-2800",
            "fax_number": "504-354-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CIVIC CENTER BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605937",
            "telephone_number": "985-333-2020",
            "fax_number": "985-851-0162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Oak Harbor Blvd",
            "address_2": "Suite B # 1034",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "70458",
            "country_code": "US",
            "telephone_number": "504-350-2800",
            "fax_number": "504-354-0850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KAYLA",
        "middle_name": "NICOLE",
        "credential": "PMNHP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "226781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.