NPIMap

Individual provider Active NPI

Christine Marie Watson, N.P.

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1508307364
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006319 Issued in CA
Practice address
4740 Exploration Ave
Lakeland, FL 33812-3319
Phone
(863) 666-9020
Fax
(863) 606-0887
NPI assigned
Mar 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 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 95006319 CA Primary

Addresses

Primary practice location

4740 Exploration Ave
Lakeland, FL 33812-3319

Mailing address

4740 Exploration Ave
Lakeland, FL 33812-3319
Phone (863) 666-9020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, ME3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181126000808 CA Practitioner - Nurse Practitioner 0042564353 Reassigns benefits to 1 organization
I20220203000994 FL Practitioner - Nurse Practitioner 0042564353 Reassigns benefits to 2 organizations
I20240409005000 ME Practitioner - Nurse Practitioner 0042564353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Management of Florida Inc 158 clinicians
Healthreach Community Health Centers 87 clinicians

Practice addresses (Care Compare)

2155 SE Federal Hwy
Wellmed at South Stuart
Stuart, FL 34994-4514
Phone (772) 223-9630

25 Depot St
Kingfield, ME 04947-4208
Phone (207) 265-4555

4 Clement Way
Belgrade, ME 04917-4370
Phone (207) 660-9924

4740 Exploration Ave
Wellmed at SE Lakeland
Lakeland, FL 33812-3319
Phone (863) 666-9020

Hospital & facility affiliations

  • Mainehealth Franklin Hospital Hospital, Farmington, ME, CCN 201316
  • Redington Fairview General Hospital Hospital, Skowhegan, ME, CCN 201314

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95006319CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Medical Associates, Inc. CurrentSince Sep 17, 2018 Accepting new patients
Wellmed Medical Management of Florida Inc CurrentSince May 6, 2024 Accepting new patients
VMD Primary Providers Central Florida PLLC CurrentSince Feb 1, 2022 Accepting new patients
VMD Primary Providers Central Florida PLLC PastSince May 8, 2022 Accepting new patients

Locations

2810 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 299-1419

4404 S Highway 27
Clermont, FL 34711

3001 Simpson Rd
Kissimmee, FL 34744
Phone (321) 294-0611

4740 Exploration Ave
Lakeland, FL 33812
Phone (863) 606-9020

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

2155 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-9630

4650 Westway Park Blvd
Ste 206
Houston, TX 77041
Phone (346) 980-2725

Interoperability endpoints

  • Direct secure messaging: christine.watson@wellmed.eclinicaldirectplus.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1508307364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 EXPLORATION AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338123319",
            "telephone_number": "863-666-9020",
            "fax_number": "863-606-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 EXPLORATION AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338123319",
            "telephone_number": "863-666-9020",
            "fax_number": "863-606-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.