Individual provider Active NPI

Elizabeth Watts, PA-C

  • Medical Physician Assistant
  • Lexington, KY
National Provider Identifier
1952596553
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1056 Issued in KY
Practice address
2101 Saint Mathilda Dr
Lexington, KY 40502-1127
Phone
(859) 288-2425
NPI assigned
Sep 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1056 KY Primary

Addresses

Primary practice location

2101 Saint Mathilda Dr
Lexington, KY 40502-1127

Mailing address

PO Box 39597
Belfast, ME 04915-1249
Phone (859) 288-2425

Other practice location 1

496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2425

Other identifiers 1

IdentifierTypeStateIssuer
7100049280MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20080602000885 KY Practitioner - Physician Assistant 7113097163 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA1056KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthfirst Bluegrass Inc. CurrentSince Jun 20, 2025 Accepting new patients
Healthfirst Bluegrass Inc Past Accepting new patients

Locations

496 Southland Dr
Lexington, KY 40503
Phone (859) 288-2392

555 E Fifth St
Lexington, KY 40508
Phone (859) 252-2371

122 Arceme Ave
Lexington, KY 40505

161 Bruce St
Lexington, KY 40507
Phone (859) 381-3418

1113 Centre Pkwy
Lexington, KY 40517
Phone (859) 381-3606

707 Howard St
Lexington, KY 40508
Phone (859) 381-3263

218 Mandalay Rd
Lexington, KY 40504
Phone (859) 381-3340

1111 Centre Pkwy
Lexington, KY 40517

350 N Limestone
Lexington, KY 40508
Phone (859) 381-3192

2101 Saint Mathilda Dr
Lexington, KY 40502
Phone (859) 381-3273

551 Parkside Dr
Lexington, KY 40505
Phone (859) 381-3512

Organizations & group practices 2

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": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1952596553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39597",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151249",
            "telephone_number": "859-288-2425",
            "fax_number": "859-288-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 SAINT MATHILDA DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021127",
            "telephone_number": "859-288-2425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "496 Southland Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031827",
            "country_code": "US",
            "telephone_number": "859-288-2425",
            "fax_number": "859-288-7510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA1056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100049280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.