Individual provider Active NPI

Leah Elizabeth Watkins, NP

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1326699612
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
207188 Issued in LA
Practice address
1890 W Gauthier Rd Ste 135
Lake Charles, LA 70605-7179
Phone
(337) 480-5510
Fax
(337) 480-5511
NPI assigned
Sep 27, 2019
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 207188 LA Primary

Addresses

Primary practice location

1890 W Gauthier Rd Ste 135
Lake Charles, LA 70605-7179

Mailing address

PO Box 122585 Dept 2585
Dallas, TX 75312-0001
Phone (337) 494-2921

Other practice location 1

1890 W Gauthier Rd Ste 150
Lake Charles, LA 70605-7119
Phone (337) 562-0510

Other practice location 2

760 Bayou Pines East Dr
Lake Charles, LA 70601-7184
Phone (337) 562-0510

Other identifiers 1

IdentifierTypeStateIssuer
2517091MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20191113002762 LA Practitioner - Nurse Practitioner 8921430968 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207188LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LCMS Matthew G Scroggs, MD, LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

1890 W Gauthier Rd
Ste 145
Lake Charles, LA 70605
Phone (337) 480-5540

1890 W Gauthier Rd
Ste 150
Lake Charles, LA 70605
Phone (337) 480-5559

Interoperability endpoints

  • Direct secure messaging: lwatkins5281990@direct.casso.us.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1326699612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122585 DEPT 2585",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 W GAUTHIER RD STE 135",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706057179",
            "telephone_number": "337-480-5510",
            "fax_number": "337-480-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1890 W Gauthier Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706057119",
            "country_code": "US",
            "telephone_number": "337-562-0510",
            "fax_number": "337-562-0810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "760 Bayou Pines East Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706017184",
            "country_code": "US",
            "telephone_number": "337-562-0510",
            "fax_number": "337-562-0810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "LEAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "207188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2517091",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.