Individual provider Active NPI

China Watts, APRN

  • Acute Care Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1568183580
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1089542 Issued in TX
Practice address
129 Vision Park Blvd
Shenandoah, TX 77384-3023
Phone
(936) 937-2839
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1089542 TX Primary

Addresses

Primary practice location

129 Vision Park Blvd
Shenandoah, TX 77384-3023

Mailing address

100 Medical Center Blvd
Conroe, TX 77304-2888
Phone (936) 539-1111

Other practice location 1

100 Medical Center Blvd
Conroe, TX 77304-2888
Phone (936) 213-6676

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
I20221020002733 TX Practitioner - Nurse Practitioner 5395111082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

1801 N Loop W
Suite 30
Houston, TX 77008-1445
Phone (713) 802-9781

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2307

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adnan Afzal, MD PA CurrentSince Sep 10, 2022 Accepting new patients
Memorial Hermann Medical Group CurrentSince Apr 1, 2024 Accepting new patients

Locations

100 Medical Center Blvd
Ste 200
Conroe, TX 77304
Phone (936) 441-9680

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

909 Frostwood Dr
Ste 1405
Houston, TX 77024
Phone (713) 338-5519

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

116 Medical Park Ln
Ste A2
Huntsville, TX 77340
Phone (936) 441-9680

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

129 Vision Park Blvd
Shenandoah, TX 77384
Phone (936) 273-3900

Organizations & group practices 2

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": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1568183580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042888",
            "telephone_number": "936-539-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843023",
            "telephone_number": "936-937-2839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042888",
            "country_code": "US",
            "telephone_number": "936-213-6676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "CHINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1089542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.