Individual provider Active NPI

Patricia Lemon Watson

  • Adult Health Nurse Practitioner
  • Bristol, FL
National Provider Identifier
1376060111
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1023952 Issued in FL
Practice address
11064 NW Dempsey Barron Rd
Bristol, FL 32321-2622
Phone
(850) 643-9656
Fax
(850) 643-9479
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1023952 FL Primary

Addresses

Primary practice location

11064 NW Dempsey Barron Rd
Bristol, FL 32321-2622

Mailing address

71 Janet Dr
Crawfordville, FL 32327-4614
Phone (850) 926-7385

Other names 1

  • Mrs. Patricia Wright Lemon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1023952FLMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1376060111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 JANET DR",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323274614",
            "telephone_number": "850-926-7385",
            "fax_number": "850-643-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11064 NW DEMPSEY BARRON RD",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323212622",
            "telephone_number": "850-643-9656",
            "fax_number": "850-643-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "PATRICIA",
        "middle_name": "LEMON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "1023952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "LEMON",
            "middle_name": "WRIGHT",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bristol, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.