Trevor Watson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP137939 Issued in TX

Practice address

1501 W. Front Street
Goldthwaite, TX 76844

Phone

(325) 648-2850

Fax

(325) 648-2854

NPI assigned

Aug 4, 2018

Last updated

Aug 4, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Hamilton County Hospital District

  dba Hamilton General Hospital

  • Critical Access Hospital
  • Hamilton, TX
  • NPI 1326037607
  Medicare reassignment

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

{
    "created_epoch": "1533340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533340800000",
    "number": "1245718998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 937",
            "city": "GOLDTHWAITE",
            "state": "TX",
            "postal_code": "76844",
            "telephone_number": "325-648-2850",
            "fax_number": "625-648-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W. FRONT STREET",
            "city": "GOLDTHWAITE",
            "state": "TX",
            "postal_code": "76844",
            "telephone_number": "325-648-2850",
            "fax_number": "325-648-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TREVOR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-04",
        "last_updated": "2018-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Outpatient & Infusion Center
• Thomas Cody Graves DDS and Cody Clark Graves DDS
• James Merwyn Thompson, MD
• Veronica Vega
• Horace Glen Walton, M.ED., LMSW-IPR

• Family Nurse Practitioner in Goldthwaite, TX
• Providers in Goldthwaite, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.