Tyler Eugene Watkins, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP-1535A Issued in ID

Practice address

353 W Iowa Ave
Nampa, ID 83686

Phone

(208) 468-0485

NPI assigned

Jun 4, 2014

Last updated

Mar 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID

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

Master of Arts, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Adams County Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Council, ID
  • NPI 1710915897
  Medicare reassignment NPD
• East Meets West Medical Clinic

  • Family Nurse Practitioner
  • Nampa, ID
  • NPI 1982299103
  NPD

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1174936462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3873 E RENWICK ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426486",
            "telephone_number": "480-430-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 W IOWA AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83686",
            "telephone_number": "208-468-0485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1465 W Chandler Blvd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246237",
            "country_code": "US",
            "telephone_number": "602-344-2502",
            "fax_number": "602-247-9502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3873 E Renwick St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "83642",
            "country_code": "US",
            "telephone_number": "480-430-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "TYLER",
        "middle_name": "EUGENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1535A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN158139",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "2011013620",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "NP-1535A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kareo",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "353 W Iowa Ave",
            "city": "Nampa",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836862856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diana G. Wasser, LPC
• Alana Waters, PA
• Ty Waters, MD
• Linsey Watkins
• Scott A Watkins
• Wilfred E Watkins, M.D., F.A.C.S.
• Jacob Charles Watson, O.D.
• Lynda Jeanette Watt, MS, LPC, NCC
• Todd Allen Watts, D.C.
• Waypoint Developmental Center LLC

• Family Nurse Practitioner in Nampa, ID
• Providers in Nampa, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.