Active NPI
Watson Allen Edwards, RN
- Family Nurse Practitioner
- Blacksburg, VA
National Provider Identifier
1194678367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024197724
- Practice address
- 901 Plantation Rd Ste 1
Blacksburg, VA 24060-3880 - Phone
- (540) 951-0352
- Fax
- (540) 951-7724
- NPI assigned
- Feb 18, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024197724 | VA | Primary |
| Registered Nurse | 163W00000X | 0001169217 | VA |
Addresses
Primary practice location
901 Plantation Rd Ste 1
Blacksburg, VA 24060-3880
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5516
Other practice location 1
434 Peppers Fry Rd NW
Christiansburg, VA 24073-5780
Phone (540) 382-6005
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001169217 | VA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1194678367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713",
"telephone_number": "540-224-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 PLANTATION RD STE 1",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240603880",
"telephone_number": "540-951-0352",
"fax_number": "540-951-7724"
}
],
"practiceLocations": [
{
"address_1": "434 Peppers Fry Rd NW",
"address_purpose": "LOCATION",
"city": "Christiansburg",
"state": "VA",
"postal_code": "240735780",
"country_code": "US",
"telephone_number": "540-382-6005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "WATSON",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-18",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024197724",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001169217",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.