Active NPI
Heather Watts, RN
- Registered Nurse
- Springfield, MO
National Provider Identifier
1760730394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2003005334
- Practice address
- 1234 E McClernon St
Springfield, MO 65803-3647 - Phone
- (417) 833-9128
- NPI assigned
- Aug 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2003005334 | MO | Primary |
| Registered Nurse | 163W00000X | RN182995 | GA | |
| Registered Nurse | 163W00000X | RN72170 | HI |
Addresses
Primary practice location
1234 E McClernon St
Springfield, MO 65803-3647
Mailing address
1234 E McClernon St
Springfield, MO 65803-3647
Phone (417) 833-9128
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN182995 | GA | MD | Registered Nurse |
| RN72170 | HI | MD | Registered Nurse |
| 2003005334 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1760730394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 E MCCLERNON ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658033647",
"telephone_number": "417-833-9128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 E MCCLERNON ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658033647",
"telephone_number": "417-833-9128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "HEATHER",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2003005334",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN182995",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "RN72170",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.