Individual provider Active NPI

Samantha Joan Watson, APRN

  • Family Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1346997749
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11018543 Issued in FL
Practice address
3730 7TH Ter Ste 204
Vero Beach, FL 32960-7324
Phone
(772) 581-0528
Fax
(844) 829-3327
NPI assigned
Mar 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 11018543 FL Primary

Addresses

Primary practice location

3730 7TH Ter Ste 204
Vero Beach, FL 32960-7324

Mailing address

3920 Oak Hollow Ave
Vero Beach, FL 32966-6532
Phone (772) 205-4086

Other identifiers 1

IdentifierTypeStateIssuer
114027900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220425001783 FL Practitioner - Nurse Practitioner 3274920129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

1553 US Hwy 1
Vero Beach, FL 32960-5735
Phone (772) 562-3234

Hospital & facility affiliations

  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11018543FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney Physicians, LLC CurrentSince Jan 1, 2026 Accepting new patients
Florida Kidney Physicians , LLC CurrentSince Jan 1, 2026 Accepting new patients
Vero Beach Surgery Center LLC Past Accepting new patients

Locations

7781 NW Beacon Square Blvd
Ste 201
Boca Raton, FL 33487
Phone (561) 989-9070

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

1553 US Highway 1
Vero Beach, FL 32960
Phone (772) 562-3234

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1346997749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 OAK HOLLOW AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329666532",
            "telephone_number": "772-205-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 7TH TER STE 204",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607324",
            "telephone_number": "772-581-0528",
            "fax_number": "844-829-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "SAMANTHA",
        "middle_name": "JOAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-05",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114027900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.