Active NPI
Heather Lynette Watford
- Family Nurse Practitioner
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11000818
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hwatford28379@LRHS.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
- Sentara Obici Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.12 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11000818 | FL | MD | Family Nurse Practitioner |
| 0024195786 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Regional Health Systems, Inc. | Current | Accepting new patients | |
| Sentara Medical Group | Current | Accepting new patients | |
| Lifetime Family Urgent Care LLC | Current | Accepting new patients | |
| Ethos Health Lakeland, LLC | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- Family Medicine Physician
- Wesley Chapel, FL
- NPI 1477723807
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1013409598
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.