Individual provider Active NPI

Karen Colleen Watkins, FNP

  • Family Nurse Practitioner
  • Santa Fe, TX
National Provider Identifier
1477044253
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136973 Issued in TX
Practice address
13230 FM 1764 Rd Ste C
Santa Fe, TX 77510-9132
Phone
(409) 316-9085
NPI assigned
May 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136973 TX Primary
Registered Nurse 163W00000X 661574 TX

Addresses

Primary practice location

13230 FM 1764 Rd Ste C
Santa Fe, TX 77510-9132

Mailing address

678 Lazy LN
League City, TX 77573-1981
Phone (409) 939-9087

Other identifiers 1

IdentifierTypeStateIssuer
AP136973OtherTXAPRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190909003736 TX Practitioner - Nurse Practitioner 6507195021 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
661574TXMDRegistered Nurse
AP136973TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Your Family Healthcare, LLC Family CurrentSince Sep 5, 2022 Accepting new patients

Locations

1395 Sattler Rd
Ste 6
New Braunfels, TX 78132
Phone (409) 316-9085

13230 FM 1764 Rd
Ste C
Santa Fe, TX 77510
Phone (409) 316-9085

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15750/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1527465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1477044253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 LAZY LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731981",
            "telephone_number": "409-939-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13230 FM 1764 RD STE C",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775109132",
            "telephone_number": "409-316-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "KAREN",
        "middle_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-28",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136973",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "661574",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "AP136973",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, TX

Sources for this page

Verify at the official NPI Registry.