Individual provider Active NPI

Camille Anette Watson, CNS, BC-PMH

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Austin, TX
National Provider Identifier
1811096324
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
AP109017 Issued in TX
Practice address
4101 Parkstone Heights Dr Ste 360
Austin, TX 78746-7482
Phone
(512) 637-9090
Fax
(512) 340-0096
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X AP109017 TX Primary

Addresses

Primary practice location

4101 Parkstone Heights Dr Ste 360
Austin, TX 78746-7482

Mailing address

4101 Parkstone Heights Dr Ste 360
Austin, TX 78746-7482
Phone (512) 637-9090

Other identifiers 2

IdentifierTypeStateIssuer
158498903MedicaidTX
NP7155OtherTXBCBS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050113000293 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 5294784575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Psychiatric Alliance, PLLCGroup PAC ID 8921153909, 3 clinicians

Practice addresses (Care Compare)

4101 Parkstone Heights Dr
Suite 360
Austin, TX 78746-7482
Phone 5126379090101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
23507TXMDGeneral Practice Dentistry
AP109017TXMDPsychiatric/Mental Health Clinical Nurse Specialist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1811096324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 PARKSTONE HEIGHTS DR STE 360",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467482",
            "telephone_number": "512-637-9090",
            "fax_number": "512-340-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 PARKSTONE HEIGHTS DR STE 360",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467482",
            "telephone_number": "512-637-9090",
            "fax_number": "512-340-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "CAMILLE",
        "middle_name": "ANETTE",
        "name_prefix": "Ms.",
        "credential": "CNS, BC-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP109017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158498903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "NP7155",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.