Individual provider Active NPI

Robin R Watson, MSN APRN

  • Nurse Practitioner
  • Norwich, CT
National Provider Identifier
1235114273
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
002940 Issued in CT
Practice address
330 Washington St
Eastern CT Hematology & Oncology Suite 220
Norwich, CT 06360-2700
Phone
(860) 886-8362
Fax
(860) 886-9262
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 002940 CT
Nurse Practitioner 363L00000X 002940 CT Primary

Addresses

Primary practice location

330 Washington St
Eastern CT Hematology & Oncology Suite 220
Norwich, CT 06360-2700

Mailing address

12 Case St
Ste 212
Norwich, CT 06360-2222
Phone (860) 859-9123

Other practice location 1

157 Church St Fl 19
New Haven, CT 06510-2100
Phone (866) 949-0108

Other identifiers 2

IdentifierTypeStateIssuer
004247145MedicaidCT
004396174OtherCTCHNCT

Other names 1

  • Robin L Johnston Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20041013001024 CT Practitioner - Nurse Practitioner 7911967047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2940CTMDProfessional Counselor
002940CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Integrative Health LLC Nurse Practitioner Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ms_rwatso35@landmarkhealth-direct.org

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1235114273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CASE ST",
            "address_2": "STE 212",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602222",
            "telephone_number": "860-859-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST",
            "address_2": "EASTERN CT HEMATOLOGY & ONCOLOGY SUITE 220",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602700",
            "telephone_number": "860-886-8362",
            "fax_number": "860-886-9262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 Church St Fl 19",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065102100",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ROBIN",
        "middle_name": "R",
        "credential": "MSN APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CT",
            "license": "002940",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "002940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004247145",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHNCT",
            "identifier": "004396174",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "JOHNSTON",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.