KEITH WATTS (NPI# 1710432190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710432190 |
| Entity Type | Individual |
| Full Name | KEITH WATTS |
| Credential | PMHNP |
| Practice Address |
708 Will Halsey Way Ste C Madison AL 35758-2565 |
| Mailing Address |
708 Will Halsey Way Ste C Madison AL 35758-2566 |
| Practice Telephone | 2563251349 |
| Mailing Telephone | 2563251349 |
| Mailing Fax Number | 2563251354 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2019-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
1-134846 | AL | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1-134846 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 39 Stevens Hollow Rd, Taft, TN 384885269 | 9314256303 | 8443542120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720031008 | Keith D Watts | Social Worker | 8330 Naab Rd, 103, Indianapolis, IN 46260-5925 | 2006-05-18 |
| Street Address |
708 WILL HALSEY WAY STE C |
| City | MADISON |
| State | AL |
| Zip Code | 35758-2565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851372460 | Valley Internal Medicine and Pediatrics, PC | Clinic/Center | 708 Will Halsey Way, Suite A, Madison, AL 35758-2565 | 2005-11-10 |
| 1336786714 | Sarah Jane Miller | Nurse Practitioner | 708 Will Halsey Way, Madison, AL 35758-2565 | 2019-12-05 |
| 1922556141 | Alabama Behavioral Health PC | Psychiatry & Neurology | 708 Will Halsey Way, Suite C, Madison, AL 35758-2565 | 2016-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
| 1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
| 1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
| 1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| 1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
| Find all providers in zip 35758 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407402795 | Martha Rainey Daniels | Nurse Practitioner | 509 Highleadon Cv, Madison, MS 39110-7465 | 2019-08-13 |
| 1376081570 | Theresa Laggis | Nurse Practitioner | 85 Wall St Fl 1, Madison, CT 06443-3121 | 2017-02-08 |
| 1235500489 | Shawn Brady | Nurse Practitioner | 510 Hospital Dr Ste 260, Madison, TN 37115-5027 | 2015-10-14 |
| 1598045197 | Susan Ann Flannigan | Nurse Practitioner | 16 Tuxis Rd, Madison, CT 06443-3026 | 2011-08-26 |
| 1811181126 | Traci Marando | Nurse Practitioner | 20 Madrina Lane, Madison, CT 06443 | 2007-08-29 |
| 1316926553 | Sue St Clair | Nurse Practitioner | 620 Gallatin Pike S, Suite 214, Madison, TN 37115-4013 | 2006-01-16 |
| 1427039353 | Amy Jean Miller | Nurse Practitioner | 2727 Marshall Ct, Madison, WI 53705-2255 | 2005-11-08 |
| 1710510680 | The Gaetani Center | Nurse Practitioner | 71 Bradley Rd Unit 6, Madison, CT 06443-2662 | 2020-02-19 |
| 1851922322 | Joy Elizabeth Robinson | Nurse Practitioner | 223 Madison St Ste 103, Madison, TN 37115-3660 | 2020-02-03 |
| 1174161749 | Heather Greer | Nurse Practitioner | 510 Hospital Dr Ste 260, Madison, TN 37115-5027 | 2019-12-13 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.