Individual provider Active NPI

Dacia N Watts, ARNP

  • Nurse Practitioner
  • Iowa City, IA
National Provider Identifier
1467747782
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A112574 Issued in IA
Practice address
201 S Clinton St Ste 168
Iowa City, IA 52240-4034
Phone
(319) 384-8877
Fax
(319) 384-0603
NPI assigned
Jun 15, 2011
Last updated
Mar 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A112574 IA Primary
Family Nurse Practitioner 363LF0000X 04770 CT
Family Nurse Practitioner 363LF0000X A112574 IA
Family Nurse Practitioner 363LF0000X A-112574 IA
Registered Nurse 163W00000X 112574 IA
Registered Nurse 163W00000X 2005031446 MO
Registered Nurse 163W00000X 98660 CT

Addresses

Primary practice location

201 S Clinton St Ste 168
Iowa City, IA 52240-4034

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 384-8877

Other practice location 1

2591 Holiday Rd
Coralville, IA 52241-3039
Phone (319) 467-7150

Other identifiers 1

IdentifierTypeStateIssuer
004236346MedicaidCT

Other names 1

  • Dacia N Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
98660CTMDRegistered Nurse
112574IAMDRegistered Nurse
2005031446MOMDRegistered Nurse
04770CTMDFamily Nurse Practitioner
A-112574IAMDFamily Nurse Practitioner
A112574IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians and Surgeons of Iowa City PLC CurrentSince Dec 1, 2024 Accepting new patients
State University of Iowa CurrentSince Dec 1, 2021 Accepting new patients

Locations

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

201 S Clinton St
Ste 168
Iowa City, IA 52240
Phone (319) 384-8877

2591 Holiday Rd
Iowa City, IA 52241
Phone (319) 467-7150

2629 Northgate Dr
Iowa City, IA 52245
Phone (319) 338-3623

269 N 1st Ave
Iowa City, IA 52245
Phone (319) 339-3541

Interoperability endpoints

  • Direct secure messaging: dwatts10895@uihcdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1467747782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-384-8877",
            "fax_number": "319-384-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S CLINTON ST STE 168",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404034",
            "telephone_number": "319-384-8877",
            "fax_number": "319-384-0603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2591 Holiday Rd",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522413039",
            "country_code": "US",
            "telephone_number": "319-467-7150",
            "fax_number": "319-467-7140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "DACIA",
        "middle_name": "N",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A112574",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "04770",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A112574",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-112574",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "112574",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2005031446",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "98660",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236346",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DACIA",
            "last_name": "JOHNSON",
            "middle_name": "N",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.