Kristi Watts, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3004377 Issued in KY

Practice address

210 Black Gold Blvd
Suite 106
Hazard, KY 41701-2620

Phone

(606) 436-0711

Fax

(606) 436-0848

NPI assigned

Jul 26, 2006

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

Other names 1

• Kristi Watts Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/GIIEDD
• FHIR API: https://fhir4.healow.com/fhir/r4/AIEDDD

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.

• Kentucky Mountain Health Alliance, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hazard, KY
  • NPI 1407043979
  Medicare reassignment NPD
• Mountain After Hours Clinic PSC

  • Rural Health Clinic/Center
  • Hazard, KY
  • NPI 1477638880
  Medicare reassignment NPD
• Quantum Healthcare Associates of Cumberland, Inc

  • Rural Health Clinic/Center
  • Cumberland, KY
  • NPI 1255603619
  Medicare reassignment NPD
• Appalachian Regional Healthcare, Inc

  • Community/Retail Pharmacy
  • Cumberland, KY
  • NPI 1710870811
  NPD (past)
• Southeast Vision Associates, LLC

  • Optometrist
  • Hazard, KY
  • NPI 1396974077
  NPD (past)
• Whitesburg Women'S Center, LLC

  • Obstetrics & Gynecology Physician
  • Whitesburg, KY
  • NPI 1174887236
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1174547269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 ANTLER DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417018223",
            "telephone_number": "606-233-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BLACK GOLD BLVD",
            "address_2": "SUITE 106",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012620",
            "telephone_number": "606-436-0711",
            "fax_number": "606-436-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "KRISTI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3004377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78013018",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "WATTS",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Derek Gene Watts, D.M.D., M.S.
• Hester Nicole Watts, APRN
• Irene Watts
• Johnnie Watts, NURSE PRACTITIONER
• Kaitlin Kassandra Watts, APRN
• Teresa S Watts, LPCA
• Theresa C Watts
• Victoria Watts, DMD
• William Jacob Watts, APRN
• Georgene Waugh, BSW, CADC

• Nurse Practitioner in Hazard, KY
• Providers in Hazard, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.