Katelynne Watts
Individual provider Active NPI Physician Assistant · Fairview, UT
NPI 1992625826 · NPPES record last updated Jul 20, 2026
Key facts
- NPI
- 1992625826
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 115 N 100 W
Fairview, UT 84629 - Phone
- (435) 262-1393
- NPI assigned
- Jul 20, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | UT | Yes |
Addresses
Primary practice location
115 N 100 W
Fairview, UT 84629
Mailing address
115 N 100 W
Fairview, UT 84629
Phone (435) 262-1393
Other providers in Fairview, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.