Individual provider Active NPI

Kristen Ellen Watson, APRN, FNP-BC

  • Family Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1669133005
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11017377 Issued in FL
Practice address
128 E Brandon Blvd
Brandon, FL 33511-5219
Phone
(813) 278-8293
NPI assigned
Jan 7, 2022
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 11017377 FL Primary

Addresses

Primary practice location

128 E Brandon Blvd
Brandon, FL 33511-5219

Mailing address

1 N Dale Mabry Hwy Ste 100
Tampa, FL 33609-2764

Other practice location 1

1 N Dale Mabry Hwy Ste 100
Tampa, FL 33609-2764
Phone (813) 347-9152

Other names 1

  • Kristen Ellen Thompson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231128001507 FL Practitioner - Nurse Practitioner 8820446156 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11180 Spring Hill Dr
Spring Hill, FL 34609-4648
Phone (352) 701-0482

1127 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9208
Phone (813) 536-1865

128 E Brandon Blvd
Brandon, FL 33511-5219
Phone (813) 278-8293

17511 Bruce B Downs Blvd
Tampa, FL 33647-3211
Phone (813) 981-0978

22829 State Rd
Suite 54
Land O Lakes, FL 34639-5227
Phone (813) 591-1552

28115 Wesley Chapel Blvd
Wesley Chapel, FL 33543-3204
Phone (813) 981-0986

33670 US Hwy 19 N
Palm Harbor, FL 34684-2640
Phone (727) 221-5794

440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000

4660 13TH St
Saint Cloud, FL 34769-6765
Phone (407) 200-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11017377FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/Sunbelt, Inc Family CurrentSince Dec 1, 2023 Accepting new patients
Adventist Health System Sunbelt, Inc. Family CurrentSince Sep 19, 2024 Accepting new patients
Florida Hospital Physician Group Inc Family CurrentSince Jan 16, 2024 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Sep 19, 2024 Accepting new patients
Adventist Health System Sunbelt Inc Family Current Accepting new patients
Adventist Health System/Sunbelt, Inc Family CurrentSince Dec 1, 2023 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

128 E Brandon Blvd
Brandon, FL 33511
Phone (813) 278-8293

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Interoperability endpoints

  • Direct secure messaging: kwatson2073938@adventhealth.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1669133005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N DALE MABRY HWY STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115219",
            "telephone_number": "813-278-8293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 N Dale Mabry Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336092764",
            "country_code": "US",
            "telephone_number": "813-347-9152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KRISTEN",
        "middle_name": "ELLEN",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "THOMPSON",
            "middle_name": "ELLEN",
            "credential": "APRN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.