Individual provider Active NPI

Rita J Watkins, MD

  • Family Medicine Physician
  • Ft Wright, KY
National Provider Identifier
1962429530
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25648 Issued in KY
Practice address
1955 Dixie Highway
Suite D
Ft. Wright, KY 41011
Phone
(859) 341-5757
Fax
(859) 331-4757
NPI assigned
Jul 17, 2006
Last updated
Dec 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25648 KY Primary

Addresses

Primary practice location

1955 Dixie Highway
Suite D
Ft. Wright, KY 41011

Mailing address

1955 Dixie Highway
Suite D
Ft. Wright, KY 41011
Phone (859) 341-5757

Other identifiers 2

IdentifierTypeStateIssuer
64256480MedicaidKY
2389731MedicaidOH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190321002426 KY Order and Referring Only - Family PracticePractitioner - Family Practice 0345218038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25648KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care of Northern Kentucky, PLLC Past Accepting new patients
Family Care of Northern Kentucky, PLLC Family Medicine PastSince Aug 2, 2005 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1962429530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 DIXIE HIGHWAY",
            "address_2": "SUITE D",
            "city": "FT. WRIGHT",
            "state": "KY",
            "postal_code": "41011",
            "telephone_number": "859-341-5757",
            "fax_number": "859-331-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 DIXIE HIGHWAY",
            "address_2": "SUITE D",
            "city": "FT. WRIGHT",
            "state": "KY",
            "postal_code": "41011",
            "telephone_number": "859-341-5757",
            "fax_number": "859-331-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "RITA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "25648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64256480",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2389731",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Wright, KY

Sources for this page

Verify at the official NPI Registry.