Kelly Denise Watson, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-110635 Issued in AL

Practice address

1515 6TH Ave S
Birmingham, AL 35233-1601

Phone

(205) 279-2860

Fax

(205) 252-0197

NPI assigned

Mar 11, 2010

Last updated

Nov 15, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alabama Sleep Clinic PC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Huntsville, AL
  • NPI 1881761302
  NPD (past)
• Jefferson Clinic, P.C.

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1124086509
  NPD (past)

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1891018362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55845",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555845",
            "telephone_number": "205-279-2860",
            "fax_number": "205-252-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331601",
            "telephone_number": "205-279-2860",
            "fax_number": "205-252-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KELLY",
        "middle_name": "DENISE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-110635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAM CRNP LICENSE",
            "identifier": "1-110635",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacques C Watson, LPC
• James Andrew Watson Jr., MD
• Jared Bruce Watson, MD
• Jessica Crook Watson, FNP-C
• Kelly Watson, OTR/L
• Patsy Watson, CRNP
• Peggy Watson, CRNP
• Sandra Hitchcock Watson, LPC
• Thomas Harold Watson, M.D.
• Wayanne Watson, MD

• Family Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.