Individual provider Active NPI

Lindsey Breanne Watkins

  • Family Nurse Practitioner
  • Laguna Hills, CA
National Provider Identifier
1265090997
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011860 Issued in CA
Practice address
23961 Calle de la Magdalena Ste 405
Laguna Hills, CA 92653-3683
Phone
(949) 588-5800
NPI assigned
May 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95011860 CA Primary

Addresses

Primary practice location

23961 Calle de la Magdalena Ste 405
Laguna Hills, CA 92653-3683

Mailing address

24022 Leeward Dr
Dana Point, CA 92629-4454
Phone (661) 213-6335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95011860CAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lwatkins530040@direct.memorialcare.org
  • Direct secure messaging: lindsey.watkins@418618838286340.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1265090997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24022 LEEWARD DR",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926294454",
            "telephone_number": "661-213-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA STE 405",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533683",
            "telephone_number": "949-588-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "LINDSEY",
        "middle_name": "BREANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.