Romella I Watler

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP11592 Issued in AZ

Practice address

6724 S Kings Ranch Rd Ste 102
Gold Canyon, AZ 85118-2963

Phone

(480) 626-4999

Fax

(480) 304-3239

NPI assigned

Jul 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: romella.watler@166622370791428.direct.elationemr.com

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.

• Gold Canyon Internal Medicine

  • Internal Medicine Physician
  • Gold Canyon, AZ
  • NPI 1417112541
  Medicare reassignment

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1619454154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6724 S KINGS RANCH RD STE 102",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182963",
            "telephone_number": "480-626-4999",
            "fax_number": "480-304-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6724 S KINGS RANCH RD STE 102",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182963",
            "telephone_number": "480-626-4999",
            "fax_number": "480-304-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATLER",
        "first_name": "ROMELLA",
        "middle_name": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Anne Wahby, M.D.
• Christine Waite, MBA, RDN
• Walgreen Co
• Walgreens
• Molly Wallace
• Camron Paul Webster, DMD
• Shea Webster
• Susan Wells
• George Ross West, L.C.S.W.
• Kaitlin Willkomm, MS., CCC-SLP

• Family Nurse Practitioner in Gold Canyon, AZ
• Providers in Gold Canyon, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.