Individual provider Active NPI

Tonya Watkins, APRN, FNP-C, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1184091639
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
062900-23 Issued in NH
Practice address
61 Spit Brook Rd Ste 202
Nashua, NH 03060-5614
Phone
(603) 821-0008
Fax
(603) 554-8617
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 062900-23 NH Primary
Family Nurse Practitioner 363LF0000X 062900-23 NH

Addresses

Primary practice location

61 Spit Brook Rd Ste 202
Nashua, NH 03060-5614

Mailing address

61 Spit Brook Rd Ste 202
Nashua, NH 03060-5614
Phone (603) 821-0008

Other identifiers 1

IdentifierTypeStateIssuer
3102589MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151005001939 NH Practitioner - Nurse Practitioner 5597073973 Reassigns benefits to 3 organizations
I20230209001815 MA Practitioner - Nurse Practitioner 5597073973 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
062900-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Behavioral Care of Ma LLC CurrentSince Jan 1, 2023 Accepting new patients
Lamora Psychological Associates, P.a. CurrentSince Nov 1, 2022 Accepting new patients
Supportive Care of New Hampshire LLC CurrentSince Oct 28, 2022 Accepting new patients
Manchester Alcoholism Rehabilitation Center CurrentSince Mar 24, 2021 Accepting new patients
Old Colony Hospice Inc. Past Accepting new patients
MW Wellness Ventures I, LLC Past Accepting new patients
Centers for Pain Solutions,LLC Past Accepting new patients

Locations

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

20 Chester Rd
Derry, NH 03038
Phone (603) 432-3801

700 Lake Ave
Ste 2
Manchester, NH 03103
Phone (603) 621-0681

39 Simon St
Ste 5
Nashua, NH 03060
Phone (603) 598-5400

27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1184091639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 SPIT BROOK RD STE 202",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030605614",
            "telephone_number": "603-821-0008",
            "fax_number": "603-554-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 SPIT BROOK RD STE 202",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030605614",
            "telephone_number": "603-821-0008",
            "fax_number": "603-554-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "TONYA",
        "credential": "APRN, FNP-C, PMHNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "062900-23",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "062900-23",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102589",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.