Shannon Bre Anna Watkins

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APRN11009191 Issued in FL

Practice address

2937 Quantum Lakes Dr
Boynton Beach, FL 33426-8303

Phone

(561) 704-9305

NPI assigned

Sep 28, 2020

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Merit-based Incentive Payment System (MIPS)

Final score

88.33 of 100Reported as group

Quality

70.52

Promoting interoperability

100

Improvement activities

40

Cost

73.91

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4

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.

• Critical Care Associates of South Florida LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Boca Raton, FL
  • NPI 1619280591
  Medicare reassignment NPD
• Florida Kidney Physicians, LLC

  • Nephrology Physician
  • Temple Terrace, FL
  • NPI 1760831564
  Medicare reassignment NPD
• Intensive Care Associates LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Bradenton, FL
  • NPI 1811641251
  Medicare reassignment NPD
• Intensive Care Partners PLLC

  • Pulmonary Disease Physician
  • Riviera Beach, FL
  • NPI 1699479162
  Medicare reassignment NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Saint Petersburg, FL
  • NPI 1245569870
  Medicare reassignment NPD
• Mda Anesthesia, LLC

  • Anesthesiology Physician
  • Belle Glade, FL
  • NPI 1336784115
  Medicare reassignment NPD
• Accountable Critical Care LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Wellington, FL
  • NPI 1265897706
  Medicare reassignment
• Florida Kidney Physicians , LLC

  • Nephrology Physician
  • Melbourne, FL
  • NPI 1205506722
  NPD
• KND Development 59, LLC

  • Hospitalist Physician
  • Coral Gables, FL
  • NPI 1033448667
  NPD
• KND Development 59, LLC

  • Hospitalist Physician
  • Broken Arrow, OK
  • NPI 1922950823
  NPD

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1891302469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 QUANTUM LAKES DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268303",
            "telephone_number": "561-704-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2937 QUANTUM LAKES DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268303",
            "telephone_number": "561-704-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "SHANNON",
        "middle_name": "BRE ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11009191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "APRN11009191",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sxw1012@miami.edu",
            "affiliation": "N",
            "address_1": "2937 Quantum Lakes Dr",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334268303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sxw1012@miami.edu",
            "affiliation": "N",
            "address_1": "2937 Quantum Lakes Dr",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334268303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Warner
• Mark G Warren, D.P.M
• Richard Tracy Warren II, LCSW
• Mikaela C Washington
• Wendy Jane Waterman, MS, CCC-SLP
• We Are a Village LLC
• We Care 4 U, Inc
• Gregory Scott Weatherford, M.D.
• Ellis Lorenzo Webster, MD
• Jorge M. Wecer, MD

• Acute Care Nurse Practitioner in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Acute Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.