Julia Ann Watson, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

NP197A Issued in ID

Practice address

100 Hospital Drive
Suite 105
Ketchum, ID 83340-0000

Phone

(208) 622-8811

Fax

(208) 622-6921

NPI assigned

Jan 24, 2007

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

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• St Luke'S Clinic LLC

  • Family Medicine Physician
  • Twin Falls, ID
  • NPI 1790718229
  NPD (past)
• St Luke'S Magic Valley Regional Medical Center LTD

  • Community/Retail Pharmacy
  • Twin Falls, ID
  • NPI 1760203921
  NPD (past)
• St Lukes Clinic - Wood River LLC

  • Internal Medicine Physician
  • Ketchum, ID
  • NPI 1972891604
  NPD (past)
• St Lukes Wood River Medical Center LTD

  • Medicare Defined Swing Bed Hospital Unit
  • Ketchum, ID
  • NPI 1275662546
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1154476059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833030587",
            "telephone_number": "208-814-7400",
            "fax_number": "208-814-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DRIVE",
            "address_2": "SUITE 105",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "833400000",
            "telephone_number": "208-622-8811",
            "fax_number": "208-622-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JULIA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ID",
            "license": "NP197A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805190200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siarra Walker, OTR/L, OTD, ATC
• Cara E Walther, M.D.
• Robbin Warner
• Nancy Jean Wasilewski, R.N.
• Stephen A Wasilewski, MD
• Thomas J West, D.C.
• Harald J.a. Wiedemann, M.D.
• Kyle J Williams, OD
• Robert J Williams, L.AC.
• Alice Elizabeth Winter, PA-C

• Women's Health Nurse Practitioner in Ketchum, ID
• Providers in Ketchum, ID by specialty
• Women's Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.