Individual provider Active NPI

Kayla Marie Watkins

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1265902076
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5378108101 Issued in KS
Practice address
8625 College Blvd Ste 103
Overland Park, KS 66210-2192
Phone
(913) 777-0077
NPI assigned
Dec 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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 2018011105 MO
Family Nurse Practitioner 363LF0000X 5378108101 KS Primary

Addresses

Primary practice location

8625 College Blvd Ste 103
Overland Park, KS 66210-2192

Mailing address

12900 W 133Rd PL
Apt 9106
Overland Park, KS 66213-4956
Phone (918) 605-9159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20191211003304 KS Practitioner - Nurse Practitioner 6406289032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5378108101KSMDFamily Nurse Practitioner
2018011105MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Remedy Sleep Medicine, LLC CurrentSince Oct 8, 2019 Accepting new patients
Remedio LLC CurrentSince May 25, 2025 Accepting new patients

Locations

15621 W 87th Street Pkwy
Lenexa, KS 66219
Phone (913) 438-9600

8625 College Blvd
Ste 103
Overland Park, KS 66210
Phone (913) 777-0077

8625 College Blvd
Ste 10
Overland Park, KS 66210
Phone (913) 777-0077

Organizations & group practices 2

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": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1265902076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 W 133RD PL",
            "address_2": "APT 9106",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134956",
            "telephone_number": "918-605-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 COLLEGE BLVD STE 103",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102192",
            "telephone_number": "913-777-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018011105",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5378108101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.