Beverly Reddick Watkins, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

71493 Issued in TN

Practice address

814 Jefferson Ave
Memphis, TN 38105-5041

Phone

(901) 544-6836

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982732012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 SHOFNER AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381095513",
            "telephone_number": "901-398-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381055041",
            "telephone_number": "901-544-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "BEVERLY",
        "middle_name": "REDDICK",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "71493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "71493",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waters Loving Care
• Waters of Memphis a Rehabilitation & Nursing Center
• Bradford Waters, MD
• Courtney Lorraine Waters
• Watkins Family Dentistry
• Fannie Faye Watkins, CNA-LICENSE
• Hallye Watkins, DO
• Jacqueline Pentz Watkins, NNP
• Leonard W Watkins
• Marlon A Watkins, PHARM D

• Registered Nurse in Memphis, TN
• Providers in Memphis, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.