Individual provider Active NPI

Kaitlin Watson, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1225592611
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12569 Issued in TX
Practice address
12706 Oro Valley TRL
Austin, TX 78729-7352
Phone
(774) 230-0498
NPI assigned
Jan 30, 2019
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12569 TX Primary

Addresses

Primary practice location

12706 Oro Valley TRL
Austin, TX 78729-7352

Mailing address

12706 Oro Valley TRL
Austin, TX 78729-7352
Phone (774) 230-0498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190424003084 TX Practitioner - Physician Assistant 7618219528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Carenow Urgent Care PLLCGroup PAC ID 4284918418, 101 clinicians

Practice addresses (Care Compare)

1920 E Riverside Dr
Suite a 110
Austin, TX 78741-1348
Phone (737) 313-6840

3607 Manor Rd
Suite 100
Austin, TX 78723-5818
Phone (512) 928-4600

5033 W Hwy 290
Carenow
Austin, TX 78735-6751
Phone (512) 265-8980

7212 Burnet Rd
Austin, TX 78757-2253
Phone (512) 867-6299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA12569TXMDPhysician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1225592611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12706 ORO VALLEY TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787297352",
            "telephone_number": "774-230-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12706 ORO VALLEY TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787297352",
            "telephone_number": "774-230-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KAITLIN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.