Kevin James Watson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

77227 Issued in ID

Practice address

207 3Rd Ave E
Twin Falls, ID 83301-6252

Phone

(661) 333-3194

Fax

(606) 755-3289

NPI assigned

Jan 25, 2021

Last updated

Jun 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1760072557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 3RD AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016252",
            "telephone_number": "661-333-3194",
            "fax_number": "606-755-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 3RD AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016252",
            "telephone_number": "661-333-3194",
            "fax_number": "606-755-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-25",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "77227",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Micheal Warwick, BA, MA
• Robert Wasserstrom, M.D.
• Joseph L Waters, M.D.
• Molly E Watkins, RDMS (OB)
• Philip Wesley Watkins, L.D.
• Michael John Watson, PHARMD
• Scott B Wayment, OD
• Tyler R Wayment, M.D.
• WDB, Inc.
• Weaver LLC

• Family Nurse Practitioner in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.