Active NPI
Julia Self Watkins, FNP
- Family Nurse Practitioner
- Sanford, NC
National Provider Identifier
1669563524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201318
- Practice address
- 4300 Oak Park Rd
Sanford, NC 27330-9550 - Phone
- (919) 566-2072
- Fax
- (919) 566-6137
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 11, 2023
- Sex
- Female
- 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 | 201318 | NC | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 201318 | NC |
Addresses
Primary practice location
4300 Oak Park Rd
Sanford, NC 27330-9550
Mailing address
4300 Oak Park Rd
Sanford, NC 27330-9550
Phone (919) 566-2072
Other practice location 1
1801 Glendale Dr SW
Wilson, NC 27893-4401
Phone (252) 237-3141
Other practice location 2
1801 Glendale Dr SW
Wilson, NC 27893-4401
Phone (252) 237-3141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000286 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- jwatkins@easterncarolinapediatrics.opdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1669563524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 OAK PARK RD",
"city": "SANFORD",
"state": "NC",
"postal_code": "273309550",
"telephone_number": "919-566-2072",
"fax_number": "919-566-6137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 OAK PARK RD",
"city": "SANFORD",
"state": "NC",
"postal_code": "273309550",
"telephone_number": "919-566-2072",
"fax_number": "919-566-6137"
}
],
"practiceLocations": [
{
"address_1": "1801 Glendale Dr SW",
"address_purpose": "LOCATION",
"city": "Wilson",
"state": "NC",
"postal_code": "278934401",
"country_code": "US",
"telephone_number": "252-237-3141",
"fax_number": "252-293-8301",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1801 Glendale Dr SW",
"address_purpose": "LOCATION",
"city": "Wilson",
"state": "NC",
"postal_code": "278934401",
"country_code": "US",
"telephone_number": "252-237-3141",
"fax_number": "252-293-8301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATKINS",
"first_name": "JULIA",
"middle_name": "SELF",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "201318",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "201318",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000286",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.