Jennifer Goolsby Watson, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP9268061 Issued in FL

Practice address

2970 W US Highway 90
Suite 120
Lake City, FL 32055-4700

Phone

(386) 755-9675

Fax

(386) 755-8770

NPI assigned

Apr 13, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

Practice roles

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.

• Apex Imaging LLC

  • Radiology Clinic/Center
  • Lake City, FL
  • NPI 1144059254
  NPD Authorized official
• Watson Healthcare LLC

  • Primary Care Clinic/Center
  • Jasper, FL
  • NPI 1548872609
  NPD Authorized official

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1619293867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 W US HIGHWAY 90",
            "address_2": "SUITE 120",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554700",
            "telephone_number": "386-755-9675",
            "fax_number": "386-755-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 W US HIGHWAY 90",
            "address_2": "SUITE 120",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554700",
            "telephone_number": "386-755-9675",
            "fax_number": "386-755-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JENNIFER",
        "middle_name": "GOOLSBY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN193806",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9268061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura L. Warren, NP
• Tehreem Qamar Nawaz Warrich, MBBS
• Denielle Waschek, APRN
• Ashanti C Washington
• Louise C Waszak, PHD, ARNP, FNP-BC
• Tiffany Denise Watson
• Shawn Waugh, PA -L
• Emily Michelle Weatherspoon
• Celeste B Webb, CRNA
• Frederick Thomas Weber, MD

• Adult Health Nurse Practitioner in Lake City, FL
• Providers in Lake City, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.