Individual provider Active NPI

Alexandra Lynn Watts, CNM, WHNP

  • Advanced Practice Midwife
  • Chico, CA
National Provider Identifier
1174120836
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236148 Issued in CA
Practice address
1531 Esplanade
Chico, CA 95926-3310
Phone
(530) 332-5070
NPI assigned
Oct 6, 2020
Last updated
Oct 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95015401 CA
Advanced Practice Midwife 367A00000X 236148 CA Primary

Addresses

Primary practice location

1531 Esplanade
Chico, CA 95926-3310

Mailing address

2 Vermillion Cir
Chico, CA 95928-4154
Phone (530) 228-4438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201022001776 CA Practitioner - Certified Nurse Midwife (CNM) 4183044670 Reassigns benefits to 1 organization
I20250908002748 OR Practitioner - Certified Nurse Midwife (CNM) 4183044670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

188 W B St
Suite O
Springfield, OR 97477-4593

4885 Wesleyan Woods Dr
Macon, GA 31210-4124

815 NW 9TH St
Suite 215
Corvallis, OR 97330-6173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
95015401CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince Oct 12, 2020 Accepting new patients
Lane County Midwifery and Family Care Advanced Practice Midwife CurrentSince Sep 1, 2025 Accepting new patients
Our Community Birth Center CurrentSince Sep 1, 2025 Accepting new patients
Enloe Medical Center CurrentSince Oct 12, 2020 Accepting new patients

Locations

1423 Magnolia Ave
Chico, CA 95926
Phone (530) 332-5010

1665 Esplanade
Chico, CA 95926
Phone (530) 332-5070

188 W B St
Ste O
Springfield, OR 97477
Phone (458) 234-6800

Organizations & group practices 4

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": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1174120836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 VERMILLION CIR",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959284154",
            "telephone_number": "530-228-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263310",
            "telephone_number": "530-332-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "ALEXANDRA",
        "middle_name": "LYNN",
        "credential": "CNM, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95015401",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.