Individual provider Active NPI

Ashley Watson, NP-C

  • Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1407385172
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024175174 Issued in VA
Practice address
513 Boswell CT
Virginia Beach, VA 23452-5857
Phone
(757) 577-2863
Fax
(757) 577-2863
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024175174 VA Primary
Family Medicine Physician 207Q00000X F03170337 VA

Addresses

Primary practice location

513 Boswell CT
Virginia Beach, VA 23452-5857

Mailing address

513 Boswell CT
Virginia Beach, VA 23452-5857
Phone (757) 577-2863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201008002699 VA Practitioner - Nurse Practitioner 6103246327 Reassigns benefits to 3 organizations
I20241219001121 DC Practitioner - Nurse Practitioner 6103246327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Wound Care Virginia PLLCGroup PAC ID 2365875390, 7 clinicians
On Site Dermatology LLCGroup PAC ID 5991736837, 20 clinicians

Practice addresses (Care Compare)

324 King George Ave SW
Roanoke, VA 24016-5213
Phone (718) 705-6010

4435 N Pershing Dr
Arlington, VA 22203-2748
Phone (561) 314-2000

885 Kempsville Rd
Suite 309
Norfolk, VA 23502-3800
Phone (561) 314-2000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F03170337VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Medical Associates Nurse Practitioner CurrentSince Nov 17, 2025 Accepting new patients
Integrated Wound Care Virginia PLLC CurrentSince Aug 20, 2020 Accepting new patients
Integrated Dermatology of Tidewater LLC CurrentSince Dec 1, 2024 Accepting new patients
A Watson Wound Center LLC Nurse Practitioner Current Accepting new patients
On Site Dermatology LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

21170 Ashby Ponds Blvd
Ashburn, VA 20147
Phone (571) 291-6131

885 Kempsville Rd
Ste 309
Norfolk, VA 23502
Phone (757) 347-2712

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

324 King George Ave SW
Roanoke, VA 24016
Phone (540) 309-9895

2041 Fisher Arc
Ste 110
Virginia Beach, VA 23456
Phone (757) 270-4074

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1407385172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BOSWELL CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525857",
            "telephone_number": "757-577-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BOSWELL CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525857",
            "telephone_number": "757-577-2863",
            "fax_number": "757-577-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ASHLEY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024175174",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "F03170337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.