Mary Alice Watts, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Englewood, TN
NPI 1801823158 · NPPES record last updated May 28, 2014
Key facts
- NPI
- 1801823158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN11709 (TN)
- Practice address
- 3360 Highway 411 N
Englewood, TN 37329-5276 - Phone
- (423) 887-5131
- Fax
- (423) 887-5917
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Vermont Medical Center Inc
Practice addresses (Care Compare)
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
Hospital & facility affiliations
- Univ. of Vermont - Fletcher Allen Health Care
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TN, VT, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070119000255 | TN | Practitioner - Nurse Practitioner | 7416958319 | Reassigns benefits to 1 organization |
| I20191204001336 | VT | Practitioner - Nurse Practitioner | 7416958319 | Reassigns benefits to 1 organization |
| I20250328001039 | NY | Practitioner - Nurse Practitioner | 7416958319 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11709 | TN | MD | General Practice Dentistry |
| RN135274 | TN | MD | Registered Nurse |
| APN11709 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Current |
Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Current |
Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Current |
Accepting new patients | |
| Champlain Valley Physicians Hospital Medical Center | Nurse Practitioner | Current |
Accepting new patients |
| Children and Adults Medical Group, LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
1200 Dodson Ave
Chattanooga, TN 37406
Phone (423) 778-2800
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227
Interoperability endpoints
- mwatts260197@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11709 | TN | |
| Family Nurse Practitioner | 363LF0000X | APN11709 | TN | Yes |
| Registered Nurse | 163W00000X | RN135274 | TN |
Addresses
Primary practice location
3360 Highway 411 N
Englewood, TN 37329-5276
Mailing address
6350 W Andrew Johnson Hwy
Department 100
Talbott, TN 37877-8605
Phone (800) 355-3565
Other names
- Mary Alice Denning
Other providers in Englewood, TN
- The Juniper Tree
- Cassandra Torbett
- Elizabeth Wilson Truelove
- Destiny Turner
- Carrie Walden
- Keri Lynn Workman
- Rachel Wright
All providers in Englewood, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.