Active NPI
Elizabeth Ann Watkins, NP
- Family Nurse Practitioner
- Suffolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024164203
- Practice address
- 2000 Meade Pkwy
Suffolk, VA 23434 - Phone
- (757) 539-0251
- Fax
- (757) 934-2564
- NPI assigned
- Dec 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001135090 | VA | |
| Family Nurse Practitioner | 363LF0000X | 0024164203 | VA | Primary |
Addresses
Primary practice location
2000 Meade Pkwy
Suffolk, VA 23434
Mailing address
2800 Godwin Blvd
FL 1
Suffolk, VA 23434-8038
Phone (757) 934-4821
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609050285 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090612000302 | VA | Practitioner - Nurse Practitioner | 7416007489 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bon Secours Medical Group Hampton Roads Specialty Care LLCJames River Cardiology, LLCColonial Kidneycare Specialists, PC
Practice addresses (Care Compare)
100 Fairview Dr
Franklin, VA 23851-1238
Phone (757) 569-6100
101 S College Dr
Franklin, VA 23851-2425
Phone (757) 568-7518
150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673
3601 Boulevard
Suite C
Colonial Heights, VA 23834-1338
Phone (804) 504-0068
Hospital & facility affiliations
- Bon Secours Southampton Memorial Hospital
- Bon Secours Southern Virginia Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024164203 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colonial Kidneycare Specialists, PC | Current | Accepting new patients | |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients | |
| James River Cardiology, LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients | |
| Colonial Kidney Specialists PLLC | Current | Accepting new patients | |
| Apogee Medical Group Virginia, PC | Current | Accepting new patients |
Locations
3601 Boulevard
Ste C
Colonial Hgts, VA 23834
Phone (804) 504-0068
445 Charles H Dimmock Pkwy
Ste 100
Colonial Hgts, VA 23834
701 N Main St
Emporia, VA 23847
Phone (434) 336-3199
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
101 S College Dr
Franklin, VA 23851
Phone (757) 517-0465
320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200
150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944
2800 Godwin Blvd
Fl 1
Suffolk, VA 23434
Phone (757) 934-4821
2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850
Interoperability endpoints
- elizabeth.watkins.1@31267.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1629637475
VA
-
- Durable Medical Equipment & Medical Supplies
- Franklin, VA
- NPI 1205451028
-
- Nephrology Physician
- Colonial Heights, VA
- NPI 1780842641
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Emporia, VA
- NPI 1104461276
Hospital
-
- General Acute Care Hospital
- Franklin, VA
- NPI 1851936983
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1609050285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 GODWIN BLVD",
"address_2": "FL 1",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348038",
"telephone_number": "757-934-4821",
"fax_number": "757-934-4276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MEADE PKWY",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "23434",
"telephone_number": "757-539-0251",
"fax_number": "757-934-2564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-19",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001135090",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024164203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609050285",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.