Individual provider Active NPI

Vannessa Marie Watson, APRN

  • Family Nurse Practitioner
  • Whitley City, KY
National Provider Identifier
1538822192
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016876 Issued in KY
Practice address
429 N Highway 27 Ste 1
Whitley City, KY 42653-5011
Phone
(606) 516-5007
Fax
(606) 645-1776
NPI assigned
Oct 20, 2021
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 3016876 KY Primary

Addresses

Primary practice location

429 N Highway 27 Ste 1
Whitley City, KY 42653-5011

Mailing address

PO Box 1535
Barbourville, KY 40906-5535
Phone (606) 516-5007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20211124001295 KY Practitioner - Nurse Practitioner 5698165140 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Physician Practices LLC CurrentSince Jan 3, 2022 Accepting new patients
Lake Cumberland Physician Practices, LLC Current Accepting new patients
Lake Cumberland Physician Practices, LLC CurrentSince Jan 3, 2022 Accepting new patients
Family Health Care Associates 10 PastSince Feb 6, 2022 Accepting new patients
Family Health Care Associates 2 PastSince Jul 22, 2025 Accepting new patients
Family Health Care Associates 7 Limited Liability Company PastSince Jun 21, 2020 Accepting new patients
Family Health Care Associates 9 PastSince Feb 6, 2022 Accepting new patients
Family Health Care Associates 11 Limited Liability Company PastSince May 1, 2023 Accepting new patients
Family Health Care Associates PastSince Feb 1, 2022 Accepting new patients

Locations

103 Hardin Ln
Ste A
Somerset, KY 42503
Phone (606) 451-0300

30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644

353 Bogle St
Ste C
Somerset, KY 42503
Phone (606) 678-2220

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1538822192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1535",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409065535",
            "telephone_number": "606-516-5007",
            "fax_number": "606-645-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 N HIGHWAY 27 STE 1",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426535011",
            "telephone_number": "606-516-5007",
            "fax_number": "606-645-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "VANNESSA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitley City, KY

Sources for this page

Verify at the official NPI Registry.