Individual provider Active NPI

Julia Teresa Watkins, RN

  • Home Health Registered Nurse
  • Rock Hill, SC
National Provider Identifier
1205483161
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
203375 Issued in SC
Practice address
1213 Ettrick Ave
Rock Hill, SC 29732-2987
Phone
(803) 487-6830
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 203375 SC Primary

Addresses

Primary practice location

1213 Ettrick Ave
Rock Hill, SC 29732-2987

Mailing address

1213 Ettrick Ave
Rock Hill, SC 29732-2987
Phone (803) 487-6830

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Privacy

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

LicenseStateTypeSpecialty
203375SCMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Etheric Glo & Co.LLC Current Accepting new patients
Stellar Home Care Agency CurrentSince Aug 25, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1205483161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 ETTRICK AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322987",
            "telephone_number": "803-487-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 ETTRICK AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322987",
            "telephone_number": "803-487-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JULIA",
        "middle_name": "TERESA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "SC",
            "license": "203375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Privacy",
            "affiliation": "N",
            "endpointDescription": "confidential",
            "address_1": "1213 Ettrick Ave",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297322987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.