Individual provider Active NPI

Hatira Watts, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1598130361
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP129694 Issued in TX
Practice address
3126 Rodd Field Rd
Corpus Christi, TX 78414-3901
Phone
(361) 452-6898
Fax
(361) 452-6870
NPI assigned
Dec 4, 2015
Last updated
Feb 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP129694 TX Primary

Addresses

Primary practice location

3126 Rodd Field Rd
Corpus Christi, TX 78414-3901

Mailing address

3126 Rodd Field Rd
Corpus Christi, TX 78414-3901
Phone (361) 658-7869

Other identifiers 1

IdentifierTypeStateIssuer
353493501MedicaidTX

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
I20160125002149 TX Practitioner - Nurse Practitioner 0749583789 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Behavioral Clinic LLC CurrentSince Dec 13, 2015 Accepting new patients
Border Region MH Mr Community Center CurrentSince Sep 1, 2019 Accepting new patients

Locations

3126 Rodd Field Rd
Corpus Christi, TX 78414
Phone (361) 452-6886

1500 Pappas St
Laredo, TX 78041
Phone (956) 794-3000

Organizations & group practices 3

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": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1598130361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 RODD FIELD RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143901",
            "telephone_number": "361-658-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 RODD FIELD RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143901",
            "telephone_number": "361-452-6898",
            "fax_number": "361-452-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "HATIRA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP129694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353493501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.