Individual provider Active NPI

Loy Elizabeth Watson, FNP

  • Family Nurse Practitioner
  • Giddings, TX
National Provider Identifier
1689803496
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144094 Issued in TX
Practice address
849 E Industry St
Giddings, TX 78942-4301
Phone
(979) 542-3042
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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 AP144094 TX Primary
Community Health Registered Nurse 163WC1500X 0000169929 TN

Addresses

Primary practice location

849 E Industry St
Giddings, TX 78942-4301

Mailing address

3008 State Highway 36 S
Caldwell, TX 77836-4712
Phone (423) 453-7234

Other practice location 1

1920 W Villa Maria Rd # 305-15
Bryan, TX 77807-4857
Phone (888) 960-8786

Other names 1

  • Miss Loy Elizabeth McEachin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230307003234 TX Practitioner - Nurse Practitioner 9133555816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluebonnet Trails Community MHMR CenterGroup PAC ID 5799775409, 59 clinicians

Practice addresses (Care Compare)

1009 N Georgetown St
Round Rock, TX 78664-3289
Phone (512) 255-1720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000169929TNMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebonnet Trails Community MHMR Center CurrentSince Jan 17, 2023 Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince Jan 17, 2023 Accepting new patients
Best Choice Healthcare CurrentSince Dec 2, 2024 Accepting new patients

Locations

1920 W Villa Maria Rd
#30515
Bryan, TX 77807
Phone (888) 960-8786

849 E Industry St
Giddings, TX 78942
Phone (979) 540-2122

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

Organizations & group practices 3

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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1689803496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 STATE HIGHWAY 36 S",
            "city": "CALDWELL",
            "state": "TX",
            "postal_code": "778364712",
            "telephone_number": "423-453-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 E INDUSTRY ST",
            "city": "GIDDINGS",
            "state": "TX",
            "postal_code": "789424301",
            "telephone_number": "979-542-3042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 W Villa Maria Rd # 305-15",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778074857",
            "country_code": "US",
            "telephone_number": "888-960-8786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LOY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144094",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "0000169929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOY",
            "last_name": "MCEACHIN",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Giddings, TX

Sources for this page

Verify at the official NPI Registry.