Active NPI
Katherine Elizabeth Watters, CNM
- Advanced Practice Midwife
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN11006543
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN11006543 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11006543 | FL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHP of Manatee PA | Current | Accepting new patients | |
| Women'S Care Florida LLC | Advanced Practice Midwife | Current | Accepting new patients |
| Womens' Health Hospitalists, LLC | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Mangonia Park, FL
- NPI 1134771611
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
Advanced Practice Midwife
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1386823243
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.