Individual provider Active NPI

Stefani Watson, NP

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1275924607
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127419 Issued in TX
Practice address
1521 S Staples St Ste 601
Corpus Christi, TX 78404-3154
Phone
(361) 887-8451
Fax
(361) 887-6126
NPI assigned
Feb 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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 AP127419 TX Primary

Addresses

Primary practice location

1521 S Staples St Ste 601
Corpus Christi, TX 78404-3154

Mailing address

1521 S Staples St Ste 601
Corpus Christi, TX 78404-3154
Phone (361) 887-8451

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150909001038 TX Practitioner - Nurse Practitioner 2163738048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Specialists of South Texas, P.a.Group PAC ID 0244203958, 9 clinicians

Practice addresses (Care Compare)

5826 Esplanade Dr
Suite 204
Corpus Christi, TX 78414-4198
Phone (361) 994-4858

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
78.7
Promoting interoperability
100
Improvement activities
40
Cost
76.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP127419TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Specialists of South Texas, P.a. CurrentSince Apr 1, 2019 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

1521 S Staples St
Ste 601
Corpus Christi, TX 78404
Phone (361) 887-8451

5826 Esplanade Dr
Ste 204
Corpus Christi, TX 78414
Phone (361) 994-4858

1315 Santa Fe St
Ste 102
Corpus Christi, TX 78404
Phone (361) 992-3500

Interoperability endpoints

  • Direct secure messaging: stefani.watson.1@19285.direct.athenahealth.com

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": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1275924607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 S STAPLES ST STE 601",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043154",
            "telephone_number": "361-887-8451",
            "fax_number": "361-887-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 S STAPLES ST STE 601",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043154",
            "telephone_number": "361-887-8451",
            "fax_number": "361-887-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "STEFANI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.