Individual provider Active NPI

Caridad Viviana Martinez Watson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1710744529
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11031556 Issued in FL
Practice address
14499 N Dale Mabry Hwy Ste 130S
Tampa, FL 33618-2071
Phone
(833) 769-3524
NPI assigned
Feb 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11031556 FL Primary
Family Nurse Practitioner 363LF0000X APRN11031556 FL

Addresses

Primary practice location

14499 N Dale Mabry Hwy Ste 130S
Tampa, FL 33618-2071

Mailing address

14499 N Dale Mabry Hwy Ste 130S
Tampa, FL 33618-2071
Phone (833) 769-3524

Other practice location 1

625 6th Ave S
Saint Petersburg, FL 33701-4662
Phone (275) 537-2737

Other practice location 2

1839 Central Ave
Saint Petersburg, FL 33713-8900
Phone (727) 322-1054

Other identifiers 1

IdentifierTypeStateIssuer
124181600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240419000738 FL Practitioner - Nurse Practitioner 9234578535 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

14499 N Dale Mabry Hwy
Suite 130 S
Tampa, FL 33618-2078
Phone (813) 530-1414

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11031556FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Feb 13, 2026 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Sep 1, 2024 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Sep 1, 2024 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Mar 13, 2024 Accepting new patients
Bokhari Medical Consortium Inc Family CurrentSince Feb 8, 2025 Accepting new patients
Bokhari Medical Consortium Inc CurrentSince Feb 8, 2025 Accepting new patients
Professional Health Care of Pinellas LLC CurrentSince Mar 13, 2024 Accepting new patients

Locations

716 Seminole Blvd
Largo, FL 33770
Phone (727) 238-3241

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

5411 Grand Blvd
Ste 109
New Prt Rchy, FL 34652
Phone (727) 842-3445

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

625 6th Ave S
Ste 430
St Petersburg, FL 33701
Phone (727) 553-7344

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

14499 N Dale Mabry Hwy
Ste 130S
Tampa, FL 33618
Phone (813) 530-1414

6336 Fort King Rd
Zephyrhills, FL 33542
Phone (813) 640-0060

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA
  • Direct secure messaging: bokharimedicalconsortium.caridadmartinez@157457.advancedmd-direct.com

Organizations & group practices 7

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": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1710744529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14499 N DALE MABRY HWY STE 130S",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182071",
            "telephone_number": "833-769-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14499 N DALE MABRY HWY STE 130S",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182071",
            "telephone_number": "833-769-3524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337014662",
            "country_code": "US",
            "telephone_number": "275-537-2737",
            "fax_number": "727-553-7275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1839 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337138900",
            "country_code": "US",
            "telephone_number": "727-322-1054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ WATSON",
        "first_name": "CARIDAD",
        "middle_name": "VIVIANA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11031556",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11031556",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124181600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.