Keith Watts, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1-134846 Issued in AL

Practice address

708 Will Halsey Way
Ste C
Madison, AL 35758-2565

Phone

(256) 325-1349

NPI assigned

Aug 16, 2016

Last updated

Oct 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Valley Behavioral Services IncGroup PAC ID 0042214868, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Valley Behavioral Services Inc

  • Psychiatry Physician
  • Madison, AL
  • NPI 1992810428
  Medicare reassignment Care Compare group NPD
• Magnolia Ranch Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Pulaski, TN
  • NPI 1902331929
  NPD (past)

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1710432190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 WILL HALSEY WAY STE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582566",
            "telephone_number": "256-325-1349",
            "fax_number": "256-325-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 WILL HALSEY WAY",
            "address_2": "STE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582565",
            "telephone_number": "256-325-1349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Stevens Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Taft",
            "state": "TN",
            "postal_code": "384885269",
            "country_code": "US",
            "telephone_number": "931-425-6303",
            "fax_number": "844-354-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "KEITH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-16",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-134846",
            "primary": true
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "1-134846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crissey V Watkins, CRNA
• Mary Ellen Watson, RN
• Mary Tally Watson, OD
• Sherry Kay Watson, CRNA
• David Watts, RBT
• Wayne a Stephens II
• Garret Weathers
• Jo Weaver, MS
• Maura Leigh Weaver, M.S. BCBA
• Elizabeth Larsen Webb, CRNP

• Psychiatric/Mental Health Nurse Practitioner in Madison, AL
• Providers in Madison, AL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.