Active NPI
Patricia Ann Watts, PNP-BC
- Health Service Clinic/Center
- Martinsville, IN
National Provider Identifier
1922448919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 71002669A
- Practice address
- 5040 State Road 67 North
Bradford Woods Health Center
Martinsville, IN 46151 - Phone
- (812) 703-0776
- Fax
- (765) 349-1086
- NPI assigned
- Jul 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 71002669A | IN | Primary |
Addresses
Primary practice location
5040 State Road 67 North
Bradford Woods Health Center
Martinsville, IN 46151
Mailing address
8035 N Dog Trot LN
Morgantown, IN 46160-8957
Phone (812) 703-0776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71002669A | Other | IN | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002669A | IN | MD | Health Service Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1922448919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8035 N DOG TROT LN",
"city": "MORGANTOWN",
"state": "IN",
"postal_code": "461608957",
"telephone_number": "812-703-0776",
"fax_number": "812-855-6986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5040 STATE ROAD 67 NORTH",
"address_2": "BRADFORD WOODS HEALTH CENTER",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "46151",
"telephone_number": "812-703-0776",
"fax_number": "765-349-1086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "PNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-05",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "IN",
"license": "71002669A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "71002669A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.