Individual provider Active NPI

Joanne Lamantia Watts, APN

  • Family Nurse Practitioner
  • Naperville, IL
National Provider Identifier
1396992962
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209006920 Issued in IL
Practice address
1299 E Ogden Ave # 2100
Naperville, IL 60563-1603
Phone
(630) 548-2057
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.006920 IL
Family Nurse Practitioner 363LF0000X 209006920 IL Primary

Addresses

Primary practice location

1299 E Ogden Ave # 2100
Naperville, IL 60563-1603

Mailing address

1299 E Ogden Ave # 2100
Naperville, IL 60563-1603
Phone (630) 548-2057

Other practice location 1

1 Cvs Dr
Minute Clinic credentialing-2100
Woonsocket, RI 02895-6146
Phone (401) 770-1981

Other practice location 2

1 Cvs Dr
Minute Clinic credentialing-2100
Woonsocket, RI 02895-6146
Phone (401) 770-1981

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.006920ILMDFamily Nurse Practitioner
209006920ILMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1396992962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 E OGDEN AVE # 2100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631603",
            "telephone_number": "630-548-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 E OGDEN AVE # 2100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631603",
            "telephone_number": "630-548-2057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Cvs Dr",
            "address_2": "Minute Clinic credentialing-2100",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028956146",
            "country_code": "US",
            "telephone_number": "401-770-1981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Cvs Dr",
            "address_2": "Minute Clinic credentialing-2100",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028956146",
            "country_code": "US",
            "telephone_number": "401-770-1981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "JOANNE",
        "middle_name": "LAMANTIA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.006920",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209006920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.