Amber Watkins, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP127827 Issued in TX

Practice address

2634 S Carrier Pkwy
Ste 105
Grand Prairie, TX 75052-5070

Phone

(214) 880-6442

Fax

(469) 606-0917

NPI assigned

Apr 8, 2015

Last updated

Nov 23, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1528454337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18909 LLOYD CIR",
            "address_2": "APT 821",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752522627",
            "telephone_number": "913-999-8000",
            "fax_number": "866-616-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 S CARRIER PKWY",
            "address_2": "STE 105",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525070",
            "telephone_number": "214-880-6442",
            "fax_number": "469-606-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "AMBER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAL GROUP PA",
            "identifier": "451909YLPS",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jinrong Austin Wang, DC
• Rasheda L Warren
• Diva Marie Washington
• Kylee Taylor Washington, MS
• Lateefah Tyme Washington, DMD, MS
• Essence Watkins
• Gary Watkins, PA
• Joseph Ashley Watkins
• Washley Watley, MS, QMHP-CS
• Clesandra Watson-Robertson, DC

• Family Nurse Practitioner in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.