Individual provider Active NPI

Elizabeth Ann Watkins, NP

  • Family Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1609050285
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024164203 Issued in VA
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

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1609050285MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLC 197 clinicians
James River Cardiology, LLC 49 clinicians
Colonial Kidneycare Specialists, PC 6 clinicians

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 Hospital, Franklin, VA, CCN 490092
  • Bon Secours Southern Virginia Medical Center Hospital, Emporia, VA, CCN 490097

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024164203VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colonial Kidneycare Specialists, PC CurrentSince Feb 1, 2025 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Oct 1, 2023 Accepting new patients
James River Cardiology, LLC CurrentSince Oct 6, 2025 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Oct 1, 2023 Accepting new patients
Colonial Kidney Specialists PLLC CurrentSince Feb 1, 2025 Accepting new patients
Apogee Medical Group Virginia, PC CurrentSince Apr 29, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.