Revonda C Watts (NPI# 1902349004, PAC ID# 8820375819) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1902349004 |
| PAC ID by PECOS | 8820375819 |
| Professional Enrollment ID | I20180302001925 |
| Full Name | Revonda C Watts |
| Organization Legal Name | FAMILY PRESERVATION SERVICES INC |
| Address |
340 Anderson Hollow Rd Suite 200 Norton VA 24273-1100 |
| Phone Number | 2766791045 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9537380746 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490114 | WELLMONT LONESOME PINE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 340 Anderson Hollow Rd, Suite 200, Norton, VA 24273-1100 | 2766791045 | FAMILY PRESERVATION SERVICES INC |
| Organization Legal Name | FAMILY PRESERVATION SERVICES INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie A Davis | Nurse Practitioner | Family Preservation Services Inc | 340 Anderson Hollow Rd, Norton, VA 24273-1100 |
| Jason J Jordan | Clinical Social Worker | Family Preservation Services Inc | 661 E Main St, Abingdon, VA 24210-2339 |
| Cindy R Vaughn | Nurse Practitioner | Family Preservation Services Inc | 661 E Main St, Abingdon, VA 24210-2339 |
| Sally Barca | Clinical Social Worker | Family Preservation Services Inc | 661 E Main St, Abingdon, VA 24210-2339 |
| Russell H Williams | Clinical Social Worker | Family Preservation Services Inc | 661 E Main St, Abingdon, VA 24210-2339 |
| Street Address |
340 ANDERSON HOLLOW RD SUITE 200 |
| City | NORTON |
| State | VA |
| Zip | 24273-1100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie A Davis | Nurse Practitioner | Family Preservation Services Inc | 340 Anderson Hollow Rd, Norton, VA 24273-1100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian S Newberry | Internal Medicine | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| Jody B Bentley | Internal Medicine | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| James Matthew Wilson | Family Medicine | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| Isam T Zibdeh | Obstetrics/gynecology | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| Nicanor B Concepcion | Urology | Nicanor B. Concepcion, M.d. P.C. | 624 Park Ave, Norton, VA 24273-0909 |
| Jonathan M. Hutchins | Nurse Practitioner | Wellmont Medical Associates Inc | 310 3rd St Ne, Norton, VA 24273-1137 |
| Elizabeth C Cooperstein | Family Medicine | App of Tennessee Ed Pllc | 310 3rd St Ne, Norton, VA 24273-1137 |
| Ismael H Tura | Internal Medicine | Wellmont Medical Associates Inc | 310 3rd St Ne, Norton, VA 24273-1137 |
| Harry A Marinakis | Emergency Medicine | App of Tennessee Ed Pllc | 310 3rd St Ne, Norton, VA 24273-1137 |
| Crystal L Odle | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 310 3rd St Ne, Norton, VA 24273-1137 |
| Find all physicians in zip 24273 | |||
| City | NORTON |
| Zip Code | 24273 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NORTON + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.