Individual provider Active NPI

Heather R Watters, FNP-C

  • Family Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1467094581
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0995097 Issued in CO
Practice address
2580 E Harmony Rd Ste 101
Fort Collins, CO 80528-9631
Phone
(303) 929-4875
NPI assigned
Oct 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0995097 CO Primary

Addresses

Primary practice location

2580 E Harmony Rd Ste 101
Fort Collins, CO 80528-9631

Mailing address

2580 E Harmony Rd Ste 101
Fort Collins, CO 80528-9631
Phone (303) 929-4875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KY, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200103000876 CO Practitioner - Nurse Practitioner 6800220690 Reassigns benefits to 1 organization
I20251217003575 KY Practitioner - Nurse Practitioner 6800220690 Reassigns benefits to 1 organization
I20251218002621 OH Practitioner - Nurse Practitioner 6800220690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2162 Reliance CT
Windsor, CO 80550-3448

424 Church St
Nashville, TN 37219-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0995097COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince Dec 1, 2025 Accepting new patients
Peak Vista Community Health Centers CurrentSince Jan 20, 2020 Accepting new patients
Peak Vista Community Health Centers CurrentSince Jan 20, 2020 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

Organizations & group practices 3

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": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1467094581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 E HARMONY RD STE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805289631",
            "telephone_number": "303-929-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 E HARMONY RD STE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805289631",
            "telephone_number": "303-929-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTERS",
        "first_name": "HEATHER",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0995097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.