Individual provider Active NPI

Lindsey Watford, FNP

  • Family Nurse Practitioner
  • Venice, FL
National Provider Identifier
1619536554
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11020928 Issued in FL
Practice address
1415 E Venice Ave
Venice, FL 34292-3064
Phone
(941) 282-3376
Fax
(941) 282-3378
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11020928 FL Primary

Addresses

Primary practice location

1415 E Venice Ave
Venice, FL 34292-3064

Mailing address

1415 E Venice Ave
Venice, FL 34292-3064
Phone (941) 282-3376

Other practice location 1

12497 Tamiami Trl S Ste 1
North Port, FL 34287-1415
Phone (941) 282-3376

Other identifiers 2

IdentifierTypeStateIssuer
1-148862OtherALAL MEDICAL LICENSE
APRN11020928OtherFLAPRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200702002129 AL Practitioner - Nurse Practitioner 7618390998 Reassigns benefits to 1 organization
I20220810000737 FL Practitioner - Nurse Practitioner 7618390998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.85 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
66.16

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11020928FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine State Dermatology and Skin Cancer Center Inc CurrentSince Mar 17, 2025 Accepting new patients
Southeastern Dermatology Group PA CurrentSince Feb 1, 2022 Accepting new patients
Urgent Medcare, Inc. PastSince Mar 17, 2020 Accepting new patients
Vascular Associates LLC Past Accepting new patients

Locations

106 Westside Dr
Dothan, AL 36303
Phone (334) 699-3376

201B Longwood Dr SE
Huntsville, AL 35801
Phone (256) 539-6473

44 Hughes Rd
Ste 1100
Madison, AL 35758
Phone (256) 464-8200

3 Racetrack Rd NE
Fort Walton Beach, FL 32547

12497 Tamiami Trl S
Ste 1
North Port, FL 34287
Phone (941) 228-9183

2505 Harrison Ave
Panama City, FL 32405
Phone 85023333762619

82 Mack Bayou Loop
Santa Rsa Bch, FL 32459
Phone (850) 622-0600

1415 E Venice Ave
Venice, FL 34292
Phone (941) 282-3376

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1619536554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923064",
            "telephone_number": "941-282-3376",
            "fax_number": "941-282-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923064",
            "telephone_number": "941-282-3376",
            "fax_number": "941-282-3378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12497 Tamiami Trl S Ste 1",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342871415",
            "country_code": "US",
            "telephone_number": "941-282-3376",
            "fax_number": "941-282-3378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATFORD",
        "first_name": "LINDSEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL MEDICAL LICENSE",
            "identifier": "1-148862",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "APRN11020928",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.