Organization Active NPI

Watkins Family Health & Counseling, Inc.

  • Family Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1346789948
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003468 Issued in AR
Legal business name
WATKINS FAMILY HEALTH & COUNSELING, INC.
Practice address
10345 W Jeter Rd
Fayetteville, AR 72701-9382
Phone
(479) 387-4200
NPI assigned
Feb 15, 2017
Last updated
Feb 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Dr. Charla WatkinsNPI 1881994440
Title
Owner
Phone
(479) 387-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A003468 AR Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RO51515 AR
Psychiatric/Mental Health Registered Nurse 163WP0808X A003468 AR

Addresses

Primary practice location

10345 W Jeter Rd
Fayetteville, AR 72701-9382

Mailing address

10345 W Jeter Rd
Fayetteville, AR 72701-9382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180208000491 AR Part B Supplier - Clinic/Group Practice 8123388311 Receives reassigned benefits from 6 practitioners
Practice locations: Fayetteville, AR

National Provider Directory

National Provider Directory
Tax ID family
Watkins Family Health Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3024 N Market Ave
Ste C
Fayetteville, AR 72703

3810 N Front St
Ste 3
Fayetteville, AR 72703
Phone (479) 339-1238

4220 N Crossover Rd
Fayetteville, AR 72703
Phone (479) 200-4808

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1346789948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10345 W JETER RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727019382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10345 W JETER RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727019382",
            "telephone_number": "479-387-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATKINS FAMILY HEALTH & COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "CHARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-387-4200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003468",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AR",
            "license": "RO51515",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A003468",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.