Individual provider Active NPI

Nancy Watts-Orafo, RN

  • Registered Nurse
  • Southbridge, MA
National Provider Identifier
1689859191
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
236876 Issued in MA
Practice address
176 Main St
Kennedy Donovan Center
Southbridge, MA 01550-2561
Phone
(508) 765-0292
Fax
(508) 765-0294
NPI assigned
Jan 3, 2008
Last updated
Jan 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 236876 MA Primary

Addresses

Primary practice location

176 Main St
Kennedy Donovan Center
Southbridge, MA 01550-2561

Mailing address

176 Main St
Kennedy Donovan Center
Southbridge, MA 01550-2561
Phone (508) 765-0292

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
236876MAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1689859191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MAIN ST",
            "address_2": "KENNEDY DONOVAN CENTER",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502561",
            "telephone_number": "508-765-0292",
            "fax_number": "508-765-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MAIN ST",
            "address_2": "KENNEDY DONOVAN CENTER",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502561",
            "telephone_number": "508-765-0292",
            "fax_number": "508-765-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS-ORAFO",
        "first_name": "NANCY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "236876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.