Individual provider Active NPI

Emily Watson, FNP-C

  • Nurse Practitioner
  • Maryland Heights, MO
National Provider Identifier
1922582840
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2018024579 Issued in MO
Practice address
13500 Riverport Dr Ste 100
Maryland Heights, MO 63043-4856
Phone
(314) 988-1030
Fax
(314) 988-0954
NPI assigned
Sep 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2018024579 MO Primary

Addresses

Primary practice location

13500 Riverport Dr Ste 100
Maryland Heights, MO 63043-4856

Mailing address

13500 Riverport Dr Ste 100
Maryland Heights, MO 63043-4856
Phone (314) 988-1030

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

LicenseStateTypeSpecialty
2018024579MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Missouri St. Louis Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: emily.watson@160177656168452.direct.elationemr.com

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": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1922582840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 RIVERPORT DR STE 100",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434856",
            "telephone_number": "314-988-1030",
            "fax_number": "314-988-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 RIVERPORT DR STE 100",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434856",
            "telephone_number": "314-988-1030",
            "fax_number": "314-988-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2018024579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.