Individual provider Active NPI

Katherine Elizabeth Watters, CNM

  • Advanced Practice Midwife
  • Orlando, FL
National Provider Identifier
1952937583
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11006543 Issued in FL
Practice address
83 W Miller St
Orlando, FL 32806-2031
Phone
(321) 843-9792
Fax
(321) 842-3787
NPI assigned
Mar 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN11006543 FL
Advanced Practice Midwife 367A00000X APRN11006543 FL Primary

Addresses

Primary practice location

83 W Miller St
Orlando, FL 32806-2031

Mailing address

83 W Miller St
Orlando, FL 32806-2031
Phone (321) 843-9792

Other practice location 1

5002 W Lemon St
Tampa, FL 33609-1104
Phone (181) 328-6003

Other practice location 2

101 Avenue O SE
Winter Haven, FL 33880-4333
Phone (863) 294-7022

Other identifiers 1

IdentifierTypeStateIssuer
APRN11006543MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200610000277 FL Practitioner - Certified Nurse Midwife (CNM) 3971924473 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN11006543FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Manatee PA CurrentSince Apr 23, 2020 Accepting new patients
Women'S Care Florida LLC Advanced Practice Midwife CurrentSince Oct 1, 2022 Accepting new patients
Womens' Health Hospitalists, LLC CurrentSince Oct 1, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2024 Accepting new patients

Locations

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

5002 W Lemon St
Tampa, FL 33609

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: katherine.watters.1@15095.direct.athenahealth.com

Organizations & group practices 6

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": "1584230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1952937583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 W MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062031",
            "telephone_number": "321-843-9792",
            "fax_number": "321-842-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 W MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062031",
            "telephone_number": "321-843-9792",
            "fax_number": "321-842-3787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5002 W Lemon St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336091104",
            "country_code": "US",
            "telephone_number": "181-328-6003",
            "fax_number": "813-282-1806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Avenue O SE",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338804333",
            "country_code": "US",
            "telephone_number": "863-294-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTERS",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-15",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN11006543",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11006543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APRN11006543",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.