Kimberly Groht Watson, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

222087 Issued in LA

Practice address

6550 Main St Ste 1000
Zachary, LA 70791-4092

Phone

(225) 654-1559

Fax

(225) 654-6212

NPI assigned

Nov 9, 2021

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

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Physician Services - Southeast Professional CorporationGroup PAC ID 5597774554, 825 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lane Regional Medical Center Hospital, Zachary, LA, CCN 190020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  LA, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Cardiovascular Institute of the South, LLC

  • Cardiovascular Disease Physician
  • Houma, LA
  • NPI 1982689113

  Nurse Practitioner

  Medicare reassignment NPD
• Mark C Mouton MD LLC

  • Internal Medicine Physician
  • Baker, LA
  • NPI 1760626170
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Endoscope Center

  • Endoscopy Clinic/Center
  • Zachary, LA
  • NPI 1255080503

  Hospital

  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Regional Medical Center

  • General Acute Care Hospital
  • Zachary, LA
  • NPI 1376591941
  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Regional Medical Center - Lane Health & Wellness Clinic

  • Psychiatry Physician
  • Zachary, LA
  • NPI 1679466577

  Hospital

  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Regional Medical Center - LANE ALLERGY ASTHMA AND IMMUNOLOGY

  • Allergy & Immunology Physician
  • Zachary, LA
  • NPI 1740061076

  Hospital

  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  • Gastroenterology Physician
  • Zachary, LA
  • NPI 1952878506

  Hospital

  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Regional Medical Center-Lane Dermatology

  • Dermatology Physician
  • Zachary, LA
  • NPI 1992477111

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1992461461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 MAIN ST STE 1000",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914092",
            "telephone_number": "225-654-1559",
            "fax_number": "225-654-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAIN ST STE 1000",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914092",
            "telephone_number": "225-654-1559",
            "fax_number": "225-654-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KIMBERLY",
        "middle_name": "GROHT",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "222087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bello Vosburg, PA-C
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0428)
• Wal-Mart Stores Louisiana, LLC (Vision Center 30-0428)
• Walgreen Co (Walgreens #11498)
• Leona C Wallace
• Briana Webster, RN
• Sandra Smith Welch, LMT
• Wellness Housing Partners LLC
• Jewelean S Wells, RPH
• Alexsis West

• Family Nurse Practitioner in Zachary, LA
• Providers in Zachary, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.