Individual provider Active NPI

Jenna Rae Watts, RN

  • Hospice Registered Nurse
  • Walla Walla, WA
National Provider Identifier
1992597793
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice Registered NurseTaxonomy code 163WH1000X
License
RN60773657 Issued in WA
Practice address
1067 Isaacs Ave
Walla Walla, WA 99362-2040
Phone
(509) 525-5561
NPI assigned
May 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X RN60773657 WA Primary

Addresses

Primary practice location

1067 Isaacs Ave
Walla Walla, WA 99362-2040

Mailing address

41 Francis Dr
Walla Walla, WA 99362-2515
Phone (631) 505-8237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN60773657WAMDHospice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Walla Walla Community Hospice CurrentSince May 25, 2025 Accepting new patients

Locations

1067 Isaacs Ave
Walla Walla, WA 99362
Phone (509) 525-5561

Organizations & group practices 1

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": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1992597793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 FRANCIS DR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622515",
            "telephone_number": "631-505-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 ISAACS AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622040",
            "telephone_number": "509-525-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "JENNA",
        "middle_name": "RAE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "WA",
            "license": "RN60773657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.