Individual provider Active NPI

Juliana Watts

  • Nurse Practitioner
  • Harrison, OH
National Provider Identifier
1225418825
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA.17487-NP Issued in OH
Practice address
1529 Abigail CT
Harrison, OH 45030-1277
Phone
(513) 728-5082
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.17487-NP OH Primary

Addresses

Primary practice location

1529 Abigail CT
Harrison, OH 45030-1277

Mailing address

1529 Abigail CT
Harrison, OH 45030-1277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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
I20150924001614 OH Practitioner - Nurse Practitioner 1355659376 Reassigns benefits to 2 organizations
I20201015002042 IN Practitioner - Nurse Practitioner 1355659376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Impact Health PCGroup PAC ID 0941562664, 79 clinicians
Impact Health Advanced Care PCGroup PAC ID 8325537863, 18 clinicians

Practice addresses (Care Compare)

6690 Beta Dr
Suite 118
Mayfield Village, OH 44143-2359
Phone (203) 497-3861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.17487-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Health P.C. Nurse Practitioner CurrentSince Aug 11, 2025 Accepting new patients
Impact Health Advanced Care PC CurrentSince Oct 1, 2025 Accepting new patients

Locations

240 Indian River Rd
Ste C7
Orange, CT 06477
Phone (203) 497-3867

6690 Beta Dr
Ste 118
Mayfield Vlg, OH 44143
Phone (216) 678-2253

Interoperability endpoints

  • Direct secure messaging: juliana.watts@414248283668484.direct.elationemr.com

Organizations & group practices 3

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1225418825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 ABIGAIL CT",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450301277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 ABIGAIL CT",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450301277",
            "telephone_number": "513-728-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "JULIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.17487-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, OH

Sources for this page

Verify at the official NPI Registry.