Individual provider Active NPI

Jenna Louise Watson, CNM

  • Midwife
  • Troy, NY
National Provider Identifier
1447131818
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
2231 Burdett Ave Ste 160
Troy, NY 12180-2453
Phone
(518) 525-5555
NPI assigned
Sep 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X Primary

Addresses

Primary practice location

2231 Burdett Ave Ste 160
Troy, NY 12180-2453

Mailing address

425 New Scotland Ave
Albany, NY 12208-2726
Phone (518) 525-5555

Other practice location 1

2231 Burdett Ave Ste 110
Troy, NY 12180-2447
Phone (518) 271-3900

Other practice location 2

713 Troy Schenectady Rd Ste 224
Latham, NY 12110-2490
Phone (518) 786-6270

Other practice location 3

2215 Burdett Ave Fl 2
Troy, NY 12180-2475
Phone (518) 271-3900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260430000683 NY Practitioner - Certified Nurse Midwife (CNM) 7012484777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

425 New Scotland Ave
Albany, NY 12208-2726

PO Box
Suite 14890
Albany, NY 12212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Organizations & group practices 2

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": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1447131818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082726",
            "telephone_number": "518-525-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 BURDETT AVE STE 160",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802453",
            "telephone_number": "518-525-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2231 Burdett Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802447",
            "country_code": "US",
            "telephone_number": "518-271-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 Troy Schenectady Rd Ste 224",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "121102490",
            "country_code": "US",
            "telephone_number": "518-786-6270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Burdett Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802475",
            "country_code": "US",
            "telephone_number": "518-271-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JENNA",
        "middle_name": "LOUISE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-10",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2231 Burdett Ave Ste 160",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121802453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.