Individual provider Active NPI

Justen Watkins, DO

  • General Practice Physician
  • Logan, UT
National Provider Identifier
1689090060
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11532150-1204 Issued in UT
Practice address
41 E 400 N # 332
Logan, UT 84321-4020
Phone
(435) 640-6290
NPI assigned
Mar 10, 2014
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 02008598A IN
General Practice Physician 208D00000X OP61562134 WA
General Practice Physician 208D00000X V1915 TX
General Practice Physician 208D00000X 007214 AZ
General Practice Physician 208D00000X O-2007 ID
General Practice Physician 208D00000X 0073339 CO
General Practice Physician 208D00000X 20A13585 CA
General Practice Physician 208D00000X DO221295 OR
General Practice Physician 208D00000X DO2475 NV
General Practice Physician 208D00000X 11532150-1204 UT Primary
General Practice Physician 208D00000X OS23115 FL
General Practice Physician 208D00000X 05-45247 KS
General Practice Physician 208D00000X 2024017172 MO
General Practice Physician 208D00000X 34.018173 OH

Addresses

Primary practice location

41 E 400 N # 332
Logan, UT 84321-4020

Mailing address

41 E 400 N # 332
Logan, UT 84321-4020
Phone (435) 640-6290

Other practice location 1

2300 W Sahara Ave Ste 800
Las Vegas, NV 89102-4397
Phone (203) 666-8145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, KS, UT, TX, NV, ID, WY, MO, OR, WA, CO, IN, OH, AZ, KY, NJ, FL17 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 17

Enrollment IDStateProvider typePAC IDDetails
I20170306002005 CA Practitioner - General Practice 0941584254 Reassigns benefits to 2 organizations
I20211014001701 KS Practitioner - Family PracticePractitioner - General Practice 0941584254 Reassigns benefits to 3 organizations
I20240513001894 UT Practitioner - General Practice 0941584254 Reassigns benefits to 3 organizations
I20240614000046 TX Practitioner - General Practice 0941584254 Reassigns benefits to 2 organizations
I20240628003431 NV Practitioner - General Practice 0941584254 Reassigns benefits to 1 organization
I20240806002689 ID Practitioner - General Practice 0941584254 Reassigns benefits to 1 organization
I20240821004555 WY Practitioner - General Practice 0941584254 Reassigns benefits to 1 organization
I20241130000354 MO Practitioner - General Practice 0941584254 Reassigns benefits to 3 organizations
I20250120000338 OR Practitioner - General Practice 0941584254 Reassigns benefits to 1 organization
I20250124002486 WA Practitioner - General Practice 0941584254 Reassigns benefits to 2 organizations
I20250807002413 CO Practitioner - General Practice 0941584254 Reassigns benefits to 1 organization
I20250826002741 IN Practitioner - General Practice 0941584254 Reassigns benefits to 2 organizations
I20250904003799 OH Practitioner - General Practice 0941584254 Reassigns benefits to 1 organization
I20250919001822 AZ Practitioner - General Practice 0941584254 Reassigns benefits to 1 organization
I20251020002604 KY Practitioner - General Practice 0941584254 Reassigns benefits to 2 organizations
I20251122001169 NJ Practitioner - General Practice 0941584254 Reassigns benefits to 2 organizations
I20260123001395 FL Practitioner - General Practice 0941584254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tapestry Telehealth PLLCGroup PAC ID 4789942335, 80 clinicians
Chess Medical PCGroup PAC ID 5496126914, 12 clinicians

Practice addresses (Care Compare)

100 Chesterfield Bus Pkwy
FL 2
Chesterfield, MO 63005-1271
Phone (203) 666-8145

111 N Orange Ave
Suite 800
Orlando, FL 32801-2381
Phone (203) 666-8145

12100 Wilshire Blvd
FL 8
Los Angeles, CA 90025-7120
Phone (203) 666-8145

1400 112TH Ave SE
Bellevue, WA 98004-6901
Phone (203) 666-8145

2 N Central Ave
Suite 1800
Phoenix, AZ 85004-2139
Phone (203) 666-8145

21 E State St
Suite 200
Columbus, OH 43215-0109
Phone (203) 666-8145

221 River St
Suite 9
Hoboken, NJ 07030-5990
Phone (203) 666-8145

2300 W Sahara Ave
Suite 800
Las Vegas, NV 89102-4397
Phone (203) 666-8145

2700 E 12TH St
Cheyenne, WY 82001-5604
Phone (203) 666-8145

325 N Saint Paul St
Suite 3100
Dallas, TX 75201-3923
Phone (203) 666-8145

3450 N Triumph Blvd
Suite 102
Lehi, UT 84043-6132
Phone (203) 666-8145

3597 E Monarch Sky LN
Suite 240
Meridian, ID 83646-1055
Phone (203) 666-8145

424 Lewis Hargett Cir
FL 2
Lexington, KY 40503-3688
Phone (203) 666-8145

7300 W 110TH St
Overland Park, KS 66210-2332
Phone (203) 666-8145

75 Shore Dr
Saint Helens, OR 97051-1125
Phone (203) 666-8145

7535 E Hampden Ave
Suite 400
Denver, CO 80231-4844
Phone (203) 666-8145

9465 Counselors Row
Suite 200
Indianapolis, IN 46240-3817
Phone (203) 666-8145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
13585CAMDOptometrist
007214AZMDGeneral Practice Physician
20A13585CAMDGeneral Practice Physician
0073339COMDGeneral Practice Physician
OS23115FLMDGeneral Practice Physician
02008598AINMDGeneral Practice Physician
05-45247KSMDGeneral Practice Physician
2024017172MOMDGeneral Practice Physician
DO2475NVMDGeneral Practice Physician
34.018173OHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chess Medical, P.C. CurrentSince Apr 22, 2024 Accepting new patients
County of Lane Current Accepting new patients
Living Tree Medical Group CurrentSince Jun 1, 2024 Accepting new patients
Switzer Medical, PC General Practice CurrentSince Oct 1, 2025 Accepting new patients
Precision Occupational Medical Group, Inc. CurrentSince Oct 1, 2017 Accepting new patients
Compre Hensive Primary Care Medical Associates, Inc CurrentSince Jan 29, 2017 Accepting new patients
Tapestry Telehealth PLLC CurrentSince Apr 22, 2024 Accepting new patients
Teresa L Cope PLLC Past Accepting new patients
Peak Health LLC PastSince Sep 1, 2023 Accepting new patients

Locations (25 of 34)

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719

7774 Cherry Ave
Fontana, CA 92336
Phone (909) 355-1296

2151 Michelson Dr
Ste 225
Irvine, CA 92612
Phone (949) 298-3200

12100 Wilshire Blvd
Fl 8
Los Angeles, CA 90025
Phone (317) 658-5000

1800 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 355-1296

500 Geneva St
Aurora, CO 80010
Phone (303) 364-9311

7535 E Hampden Ave
Ste 400
Denver, CO 80231
Phone (303) 229-6393

99 Hawley Ln
Ste 1102
Stratford, CT 06614

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

6000 W Denton St
Boise, ID 83704
Phone (208) 230-8525

3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519

203 W Franciscan Dr
Crown Point, IN 46307
Phone (219) 661-5100

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

7300 W 110th St
Overland Park, KS 66210
Phone (620) 302-1077

7300 W 110th St
Fl 7
Overland Park, KS 66210
Phone (650) 761-4056

424 Lewis Hargett Cir
Fl 2
Lexington, KY 40503
Phone (859) 285-6485

100 Chesterfield Business Pkwy
Fl 2
Chesterfield, MO 63005
Phone (314) 355-8585

1127 Timber Run Dr
Saint Louis, MO 63146
Phone (314) 317-2003

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

21 E State St
Ste 200
Columbus, OH 43215
Phone (203) 568-6065

75 Shore Dr
Saint Helens, OR 97051
Phone (503) 397-2713

325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696

10851 Crescent Moon Dr
Houston, TX 77064
Phone (281) 890-0171

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1689090060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E 400 N # 332",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214020",
            "telephone_number": "435-640-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E 400 N # 332",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214020",
            "telephone_number": "435-640-6290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 W SAHARA AVE STE 800",
            "address_purpose": "LOCATION",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024397",
            "country_code": "US",
            "telephone_number": "203-666-8145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JUSTEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-10",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "02008598A",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "OP61562134",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "V1915",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "007214",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ID",
            "license": "O-2007",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "0073339",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A13585",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OR",
            "license": "DO221295",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "DO2475",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "UT",
            "license": "11532150-1204",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS23115",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "05-45247",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2024017172",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "34.018173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.