Individual provider Active NPI

Barbara Jean Watts, NP

  • Adult Health Nurse Practitioner
  • Tallassee, AL
National Provider Identifier
1659534436
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-112699 Issued in AL
Practice address
115 Herren Hill Rd
Tallassee, AL 36078-1276
Phone
(334) 283-3477
Fax
(334) 283-4162
NPI assigned
Jul 2, 2008
Last updated
Oct 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-112699 AL Primary

Addresses

Primary practice location

115 Herren Hill Rd
Tallassee, AL 36078-1276

Mailing address

115 Herren Hill Rd
Tallassee, AL 36078-1276
Phone (334) 283-3477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20081014000422 AL Practitioner - Nurse Practitioner 2365510625 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-112699ALMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital, Inc CurrentSince Nov 5, 2012 Accepting new patients
Community Hospital Inc Current Accepting new patients
Community Hospital Inc CurrentSince Nov 5, 2012 Accepting new patients
Neurology Consultants of Montgomery, PC PastSince Jun 1, 2017 Accepting new patients

Locations

115 Herren Hill Rd
Tallassee, AL 36078
Phone (334) 246-4774

805 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-6541

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1659534436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HERREN HILL RD",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781276",
            "telephone_number": "334-283-3477",
            "fax_number": "334-283-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HERREN HILL RD",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781276",
            "telephone_number": "334-283-3477",
            "fax_number": "334-283-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "BARBARA",
        "middle_name": "JEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-112699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallassee, AL

Sources for this page

Verify at the official NPI Registry.