Individual provider Active NPI

Kristine Joyce Watson, CFNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1235160854
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009301 Issued in PA
Practice address
715 Dorseyville Rd
Pittsburgh, PA 15238-1113
Phone
(412) 963-7350
Fax
(412) 963-7419
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 48825 WV
Family Nurse Practitioner 363LF0000X SP009301 PA Primary

Addresses

Primary practice location

715 Dorseyville Rd
Pittsburgh, PA 15238-1113

Mailing address

492 Kerrwood Rd W
Pittsburgh, PA 15215-1112
Phone (412) 735-3957

Other practice location 1

429 4th Ave Fl 7
Pittsburgh, PA 15219-1500
Phone (412) 735-3957

Other practice location 2

232 Capitol St Ste 18
Charleston, WV 25301-2234
Phone (888) 731-8994

Other practice location 3

173 Saint Patricks Dr Ste 104
Waldorf, MD 20603-5530
Phone (888) 731-8994

Other practice location 4

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (888) 731-8994

Other practice location 5

21 E State St Ste 200
Columbus, OH 43215-0109
Phone (888) 731-8994

Other practice location 6

100 Sun Ave NE Ste 650
Albuquerque, NM 87109-4670
Phone (888) 731-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20081216000452 PA Practitioner - Nurse Practitioner 6002978632 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP009301PAMDFamily Nurse Practitioner
48825WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Robert Marks III MD Past Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristine.watson.1@27069.direct.athenahealth.com
  • Direct secure messaging: kristine.watson.1@30520.direct.athenahealth.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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1235160854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 KERRWOOD RD W",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152151112",
            "telephone_number": "412-735-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 DORSEYVILLE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152381113",
            "telephone_number": "412-963-7350",
            "fax_number": "412-963-7419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 4th Ave Fl 7",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152191500",
            "country_code": "US",
            "telephone_number": "412-735-3957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "232 Capitol St Ste 18",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253012234",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "173 Saint Patricks Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206035530",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 N Orange Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012381",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 E State St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432150109",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Sun Ave NE Ste 650",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871094670",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KRISTINE",
        "middle_name": "JOYCE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "48825",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.