Active NPI
Jermece Watts, APRN
- Family Nurse Practitioner
- Minnetonka, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11004643
- Practice address
- 9900 Bren Rd E
Minnetonka, MN 55343-9664 - Phone
- (727) 557-5655
- NPI assigned
- Jan 6, 2020
- Last updated
- Oct 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11004643 | FL | Primary |
Addresses
Primary practice location
9900 Bren Rd E
Minnetonka, MN 55343-9664
Mailing address
6101 Dr Martin Luther King Jr St N
St Petersburg, FL 33703-1141
Phone (727) 557-5655
Other practice location 1
6101 Dr Martin Luther King Jr St N
St Petersburg, FL 33703-1141
Phone (727) 572-6200
Other practice location 2
6101 Dr Martin Luther King Jr St N
St Petersburg, FL 33703-1141
Phone (727) 572-6200
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11004643 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Florida, Inc | Current | Accepting new patients | |
| Mana Health Partners PA | Current | Accepting new patients | |
| Inpatient Consultants of Florida Inc | Current | Accepting new patients | |
| Careconnectmd Florida P.a. | Current | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
105 15th St E
Bradenton, FL 34208
Phone (941) 747-8681
1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
338 Whitesville Rd
Ste 103
Jackson, NJ 08527
Organizations & group practices 4
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1912632886
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1437925047
-
- Hospitalist Physician
- Tampa, FL
- NPI 1457511164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697932800000",
"number": "1376182485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 DR MARTIN LUTHER KING JR ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337031141",
"telephone_number": "727-557-5655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 BREN RD E",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439664",
"telephone_number": "727-557-5655"
}
],
"practiceLocations": [
{
"address_1": "6101 Dr Martin Luther King Jr St N",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337031141",
"country_code": "US",
"telephone_number": "727-572-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6101 Dr Martin Luther King Jr St N",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337031141",
"country_code": "US",
"telephone_number": "727-572-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATTS",
"first_name": "JERMECE",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-06",
"last_updated": "2023-10-22",
"certification_date": "2023-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11004643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.