Active NPI
David Jack Watkins, FNP-BC
- Family Nurse Practitioner
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61518780
- Practice address
- 12 S 8TH St
Yakima, WA 98901-3020 - Phone
- (509) 454-4143
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61518780 | WA | Primary |
| Family Nurse Practitioner | 363LF0000X | 293477-4405 | UT |
Addresses
Primary practice location
12 S 8TH St
Yakima, WA 98901-3020
Mailing address
1055 N 500 W
Provo, UT 84604-3305
Phone (435) 528-2130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Yakima Neighborhood Health Services
Practice addresses (Care Compare)
12 S 8TH St
Yakima, WA 98901-3020
Phone (509) 454-4143
3030 Limited LN NW
Olympia, WA 98502-2704
Phone (360) 491-1399
3622 Ensign Rd NE
Olympia, WA 98506-5081
Phone (360) 742-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 848 | AK | MD | Mental Health Counselor |
| 293477-4405 | UT | MD | Family Nurse Practitioner |
| AP61518780 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne Community Health Centers Inc | Current | Accepting new patients | |
| Wayne Community Health Centers, Inc | Current | Accepting new patients | |
| Gunnison Valley Hospital | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Family | Current | Accepting new patients |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Wayne Community Health Centers Inc | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Bethel Family Clinic | Past | Accepting new patients | |
| Gunnison Valley Hospital | Past | Accepting new patients | |
| Bethel Family Clinic | Past | Accepting new patients |
Locations
131 E Main St
Ste 3
Salina, UT 84654
Phone (435) 529-2215
131 E Main St
#3
Salina, UT 84654
Phone (435) 528-2130
3030 Limited Ln NW
Olympia, WA 98502
Phone (360) 352-6000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDFCAD
- dwatkins781555@direct.multicare.org
Organizations & group practices 10
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.
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
Family
-
- Critical Access Hospital
- Gunnison, UT
- NPI 1952463036
-
- Federally Qualified Health Center (FQHC)
- Bicknell, UT
- NPI 1093816282
-
- Federally Qualified Health Center (FQHC)
- Yelm, WA
- NPI 1144643479
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
-
- Federally Qualified Health Center (FQHC)
- Hanksville, UT
- NPI 1093863342
-
- Federally Qualified Health Center (FQHC)
- Salina, UT
- NPI 1659979193
-
- Federally Qualified Health Center (FQHC)
- Bethel, AK
- NPI 1124078019
-
- Federally Qualified Health Center (FQHC)
- Bethel, AK
- NPI 1891279097
-
- Primary Care Nurse Practitioner
- Salina, UT
- NPI 1124499769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1649283979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 500 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846043305",
"telephone_number": "435-528-2130",
"fax_number": "435-528-2186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 S 8TH ST",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989013020",
"telephone_number": "509-454-4143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "DAVID",
"middle_name": "JACK",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61518780",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "293477-4405",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.