Andrea Watson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

44759 Issued in KY

Practice address

1111 Ring Rd
Elizabethtown, KY 42701-4900

Phone

(270) 706-1925

Fax

(270) 706-1926

NPI assigned

Mar 2, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Andrea Diomande Former name

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caretenders Home health agency, Elizabethtown, KY, CCN 187145
• Centerwell Home Health Home health agency, Elizabethtown, KY, CCN 187085
• Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.watson.1@25339.direct.athenahealth.com

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.

• Dr Watson Concierge Medicine, PLLC

  • Family Medicine Physician
  • Elizabethtown, KY
  • NPI 1396497137
  Medicare reassignment NPD Authorized official
• Allied Anesthesia, PLLC

  • Interventional Pain Medicine Physician
  • Elizabethtown, KY
  • NPI 1417658956

  Family Medicine

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System Inc

  • General Acute Care Hospital
  • Elizabethtown, KY
  • NPI 1689282147
  Care Compare affiliation
• Caretenders VS of Lincoln Trail LLC

  • Home Health Agency
  • Elizabethtown, KY
  • NPI 1992958250
  Care Compare affiliation
• Centerwell Health Services USA, LLC

  • Home Health Agency
  • Elizabethtown, KY
  • NPI 1598748600
  Care Compare affiliation

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1801036934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019497",
            "telephone_number": "270-769-5551",
            "fax_number": "270-982-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014900",
            "telephone_number": "270-706-1925",
            "fax_number": "270-706-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ANDREA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "44759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100164040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "DIOMANDE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Rose Warren, RD
• Sara Marie Waters
• Jamie A. Wathen
• Tracy Monique Wathen, LCSW
• Taelore Watkins
• Nicholas Watters, PSYD
• Shasta Wease
• Debra Carol Weaver, CADC1
• Hannah Lee Weaver, CSW
• Billie Jo Webb

• Family Medicine Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.