Individual provider Active NPI

Katelyn Brianne Watts, MS, ATC, CAT(C)

  • Athletic Trainer
  • Moraga, CA
National Provider Identifier
1477460798
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2000037620
Practice address
1928 Saint Marys Rd
Moraga, CA 94575-2744
Phone
(925) 631-4000
NPI assigned
Aug 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2000037620 Primary

Addresses

Primary practice location

1928 Saint Marys Rd
Moraga, CA 94575-2744

Mailing address

1928 Saint Marys Rd
Moraga, CA 94575-2744
Phone (925) 631-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1477460798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 SAINT MARYS RD",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945752744",
            "telephone_number": "925-631-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 SAINT MARYS RD",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945752744",
            "telephone_number": "925-631-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "KATELYN",
        "middle_name": "BRIANNE",
        "name_prefix": "Mrs.",
        "credential": "MS, ATC, CAT(C)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "2000037620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moraga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.