Individual provider Active NPI

David Jack Watkins, FNP-BC

  • Family Nurse Practitioner
  • Yakima, WA
National Provider Identifier
1649283979
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61518780 Issued in WA
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

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 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
I20100929000477 UT Practitioner - Nurse Practitioner 2062427818 Reassigns benefits to 2 organizations
I20250110000992 WA Practitioner - Nurse Practitioner 2062427818 Reassigns benefits to 1 organization

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 ServicesGroup PAC ID 6709786585, shared by 12 NPIs, 23 clinicians
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians

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

LicenseStateTypeSpecialty
848AKMDMental Health Counselor
293477-4405UTMDFamily Nurse Practitioner
AP61518780WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Community Health Centers Inc CurrentSince Dec 1, 2020 Accepting new patients
Wayne Community Health Centers, Inc CurrentSince Dec 1, 2020 Accepting new patients
Gunnison Valley Hospital CurrentSince Jan 1, 2015 Accepting new patients
Sea Mar Community Health Centers Family Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Nov 7, 2024 Accepting new patients
Wayne Community Health Centers Inc Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Nov 7, 2024 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDFCAD
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.