Individual provider Active NPI

Jeanetta Watts-Mitchell

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1215891072
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11044159 Issued in FL
Practice address
10625 N Military TRL Ste 102
West Palm Beach, FL 33410-6548
Phone
(561) 249-7626
Fax
(561) 249-7713
NPI assigned
Dec 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X APRN11044159 FL Primary

Addresses

Primary practice location

10625 N Military TRL Ste 102
West Palm Beach, FL 33410-6548

Mailing address

941 29TH St
West Palm Beach, FL 33407-5034
Phone (561) 574-2564

Other names 1

  • Ms. Jeanetta Hope Watts Former name

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

State licenses

LicenseStateTypeSpecialty
APRN11044159FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Care of Palm Beach, PLLC Multi-Specialty CurrentSince Dec 21, 2025 Accepting new patients

Locations

10625 N Military Trl
Ste 102
West Palm Beach, FL 33410
Phone (561) 249-7626

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFHHBA

Organizations & group practices 1

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": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1215891072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 29TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075034",
            "telephone_number": "561-574-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10625 N MILITARY TRL STE 102",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106548",
            "telephone_number": "561-249-7626",
            "fax_number": "561-249-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS-MITCHELL",
        "first_name": "JEANETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11044159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTA",
            "last_name": "WATTS",
            "middle_name": "HOPE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.