Individual provider Active NPI

Teresa Madigan Watkins, NP

  • Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1174775209
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-033429 Issued in AL
Practice address
1301 E South Blvd
Montgomery, AL 36116-2317
Phone
(334) 281-8008
Fax
(334) 281-0090
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-033429 AL Primary

Addresses

Primary practice location

1301 E South Blvd
Montgomery, AL 36116-2317

Mailing address

1301 E South Blvd
Montgomery, AL 36116-2317
Phone (334) 281-8008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111005000438 AL Practitioner - Nurse Practitioner 1052583556 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Aug 26, 2011 Accepting new patients
Jackson Hospital and Clinic, Inc. Nurse Practitioner Current Accepting new patients
The Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Aug 26, 2011 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Jackson Hospital and Clinic, Inc CurrentSince Nov 7, 2017 Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Nov 7, 2017 Accepting new patients
Medical Outreach Ministries Past Accepting new patients

Locations

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1801 Pine St
Ste 202
Montgomery, AL 36106
Phone (334) 265-9888

1801 Pine St
Ste 103
Montgomery, AL 36106
Phone (334) 293-8888

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

805 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-6541

Organizations & group practices 7

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1174775209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162317",
            "telephone_number": "334-281-8008",
            "fax_number": "334-281-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162317",
            "telephone_number": "334-281-8008",
            "fax_number": "334-281-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "TERESA",
        "middle_name": "MADIGAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-033429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.