Blair D G Watkins, DNP APRN FNP-C BSPH

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

79332 Issued in KS

Practice address

6525 E Mainsgate Rd
Wichita, KS 67226-1062

Phone

(316) 766-6773

Fax

(316) 669-4798

NPI assigned

Apr 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thenudge LLC

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1801672308
  NPD Authorized official
• Truform Health LLC

  • Family Nurse Practitioner
  • Chanute, KS
  • NPI 1821927427
  NPD Authorized official

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1457972622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 SULLIVAN DR",
            "city": "MULVANE",
            "state": "KS",
            "postal_code": "671101209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 E MAINSGATE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261062",
            "telephone_number": "316-766-6773",
            "fax_number": "316-669-4798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1809 Main St",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "KS",
            "postal_code": "671564935",
            "country_code": "US",
            "telephone_number": "620-402-6939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "BLAIR",
        "middle_name": "D G",
        "name_prefix": "Dr.",
        "credential": "DNP APRN FNP-C BSPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "79332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waterfront Inn Assisted Living, L.L.C.
• Waterfront Surgery Center LLC
• Ashlee Marie Waters
• Marsha K Waters, APRN
• Ziara Watie
• Elizabeth E Watkins, SLP
• Kaycie Watkins
• Melody M Watkins, CRNA
• Watson Village LLC
• Joanna Mary Watson-Wong, LMFT, LCMFT

• Family Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.