Individual provider Active NPI

Heather Lynette Watford

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1255805230
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11000818 Issued in FL
Practice address
130 Pablo St
Lakeland, FL 33803-3818
Phone
(863) 687-6800
Fax
(863) 687-1033
NPI assigned
Jan 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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 11000818 FL Primary
Family Nurse Practitioner 363LF0000X 0024195786 VA

Addresses

Primary practice location

130 Pablo St
Lakeland, FL 33803-3818

Mailing address

6755 Gall Blvd
Zephyrhills, FL 33542-2522
Phone (863) 777-2740

Other practice location 1

3305 US Highway 98 S
Lakeland, FL 33803-8365
Phone (863) 777-2740

Other practice location 2

4124 Chesapeake Square Blvd Ste 103
Chesapeake, VA 23321-2134
Phone (757) 983-5100

Other names 1

  • Heather Lynette Watford Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hwatford28379@LRHS.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 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
I20200424002871 FL Practitioner - Nurse Practitioner 7810327251 Reassigns benefits to 2 organizations
I20260310002597 VA Practitioner - Nurse Practitioner 7810327251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Regional Health Systems IncGroup PAC ID 8325952914, 513 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

130 Pablo St
Lakeland, FL 33803-3818
Phone (863) 284-5941

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

  • Lakeland Regional Medical Center Hospital, Lakeland, FL, CCN 100157
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044

Merit-based Incentive Payment System (MIPS)

Final score
86.12 of 100Reported as group
Quality
64.08
Promoting interoperability
98
Improvement activities
40
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11000818FLMDFamily Nurse Practitioner
0024195786VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Regional Health Systems, Inc. CurrentSince Aug 17, 2021 Accepting new patients
Sentara Medical Group CurrentSince Apr 1, 2026 Accepting new patients
Lifetime Family Urgent Care LLC CurrentSince Mar 1, 2020 Accepting new patients
Ethos Health Lakeland, LLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

4710 S Florida Ave
Lakeland, FL 33813
Phone (863) 284-6800

336 W Highland Dr
Lakeland, FL 33813
Phone (863) 232-5288

625 Commerce Dr
Ste 104
Lakeland, FL 33813
Phone (863) 232-5288

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

130 Pablo St
Lakeland, FL 33803
Phone (863) 284-5064

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1541 SE 17th St
Ocala, FL 34471
Phone (352) 400-9272

5801 Argerian Dr
Ste 103
Wesley Chapel, FL 33545
Phone (813) 991-4991

6755 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 782-4439

Interoperability endpoints

  • Direct secure messaging: hwatford28379@lrhs.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1255805230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335422522",
            "telephone_number": "863-777-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PABLO ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033818",
            "telephone_number": "863-687-6800",
            "fax_number": "863-687-1033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3305 US Highway 98 S",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338038365",
            "country_code": "US",
            "telephone_number": "863-777-2740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4124 Chesapeake Square Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233212134",
            "country_code": "US",
            "telephone_number": "757-983-5100",
            "fax_number": "757-673-8292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATFORD",
        "first_name": "HEATHER",
        "middle_name": "LYNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000818",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024195786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hwatford28379@LRHS.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "130 Pablo St",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338033818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "WATFORD",
            "middle_name": "LYNETTE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.