Kaylyn Watkins, NRCMA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

90418-283224121911 Issued in TX

Practice address

4003 Druid Hills Dr # 104
Dallas, TX 75224-4707

Phone

(214) 997-5713

NPI assigned

Jan 30, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643500800000",
    "number": "1760135842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 DRUID HILLS DR # 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244707",
            "telephone_number": "214-997-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 DRUID HILLS DR # 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244707",
            "telephone_number": "214-997-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "KAYLYN",
        "credential": "NRCMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-30",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "90418-283224121911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David L. Watkins, M.D.
• Dustan Faye Watkins
• James W Watkins, MD
• Kapri Watkins
• Karen Virginia Watkins, CRNA
• Lisa Sanford Watkins, RN
• Myron Hinton Watkins, MD
• Sara Watkins
• Susan Lee Watkins, RN MSN FNP
• Tobie Jane Watkins, CRNA

• Medical Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; 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.