Organization Active NPI

Karen a. Watts, N.P., PLC

  • Primary Care Clinic/Center
  • Yuma, AZ
National Provider Identifier
1356548085
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
RN059345 Issued in AZ
Legal business name
KAREN A. WATTS, N.P., PLC
Practice address
3970 W 24TH St Ste 214
Yuma, AZ 85364-9263
Phone
(928) 341-0058
Fax
(928) 341-0138
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Michele Frances Hunter
Title
Billing Administrator
Phone
(928) 503-6655

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X RN059345 AZ Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

3970 W 24TH St Ste 214
Yuma, AZ 85364-9263

Mailing address

340 W 32ND St # 378
Yuma, AZ 85364-8128
Phone (928) 341-0058

Other practice location 1

340 W 32nd St
#378
Yuma, AZ 85364-8128
Phone (928) 341-0058

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070710000001 AZ Part B Supplier - Clinic/Group Practice 4486754280 Receives reassigned benefits from 1 practitioner
Practice locations: Yuma, AZ

National Provider Directory

National Provider Directory

Locations

3970 W 24th St
Ste 214
Yuma, AZ 85364
Phone (928) 341-0058

2051 W 25th St
Ste A
Yuma, AZ 85364
Phone (928) 317-1119

340 W 32nd St
Yuma, AZ 85364
Phone (928) 341-0058

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1356548085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W 32ND ST # 378",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648128",
            "telephone_number": "928-341-0058",
            "fax_number": "928-341-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 W 24TH ST STE 214",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853649263",
            "telephone_number": "928-341-0058",
            "fax_number": "928-341-0138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 W 32nd St",
            "address_2": "#378",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853648128",
            "country_code": "US",
            "telephone_number": "928-341-0058",
            "fax_number": "928-341-0138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAREN A. WATTS, N.P., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "928-503-6655"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "RN059345",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.