Suzanne L Watts, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209017984 Issued in IL

Practice address

544 W Pershing Rd Ste 200
Decatur, IL 62526-3226

Phone

(217) 872-2400

Fax

(217) 875-4680

NPI assigned

Sep 1, 2018

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

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.

• HSHS Medical Group Inc

  • Rural Health Clinic/Center
  • Rushville, IL
  • NPI 1487719480
  NPD (past)

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

{
    "created_epoch": "1535760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1467934893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 W PERSHING RD STE 200",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263226",
            "telephone_number": "217-872-2400",
            "fax_number": "217-875-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 W PERSHING RD STE 200",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263226",
            "telephone_number": "217-872-2400",
            "fax_number": "217-875-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "SUZANNE",
        "middle_name": "L",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-01",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209017984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy L Washington, LPN
• Kristin R Waterhouse
• Pamela Sue Waterman, MA, LCPC
• Carol A Waters, CRNA
• Jacob C Watts
• Way Above ABA Il LLC
• Sean Weaver, RBT
• Alyson Webb, NP
• Evelyn A Webb, LCSW
• Webster Cantrell Youth Advocacy

• Nurse Practitioner in Decatur, IL
• Providers in Decatur, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.