Active NPI
William Teal Watkins, N.P.
- Nurse Practitioner
- Providence, RI
National Provider Identifier
1194076521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN00346
- Practice address
- 593 Eddy St
Orthopaedic Dept. Coop Building
Providence, RI 02903-4923 - Phone
- (401) 444-5662
- NPI assigned
- Sep 25, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21866 | CA | |
| Nurse Practitioner | 363L00000X | NPP37837 | RI | |
| Nurse Practitioner | 363L00000X | APRN00346 | RI | Primary |
Addresses
Primary practice location
593 Eddy St
Orthopaedic Dept. Coop Building
Providence, RI 02903-4923
Mailing address
593 Eddy St
Orthopaedic Dept. Coop Building
Providence, RI 02903-4923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21866 | CA | MD | Pediatric Occupational Therapist |
| APRN00346 | RI | MD | Nurse Practitioner |
| NPP37837 | RI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ea Health Physicians Medical Group, Inc. | Past | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
-
- Emergency Medicine Physician
- Palm Springs, CA
- NPI 1841578333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471392000000",
"number": "1194076521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"address_2": "ORTHOPAEDIC DEPT. COOP BUILDING",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"address_2": "ORTHOPAEDIC DEPT. COOP BUILDING",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-5662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "WILLIAM",
"middle_name": "TEAL",
"name_prefix": "Mr.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-25",
"last_updated": "2016-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "21866",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "RI",
"license": "NPP37837",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "RI",
"license": "APRN00346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.