KELLY A WATTS FNP NPI 1124019310

NPI Information

  • NPI: 1124019310
  • Provider Name: KELLY A WATTS, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 3903 S 7TH ST
    SUITE 2D
    TERRE HAUTE, IN
    ZIP 47802
  • Phone: (812) 232-3191

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NPI Details

Kelly A Watts, FNP is a family nurse practitioner in Terre Haute, IN. Kelly A Watts, FNP NPI is 1124019310. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3903 S 7TH ST
SUITE 2D
TERRE HAUTE, IN
ZIP 47802-710
Phone: (812) 232-3191
Fax: (812) 234-7839

The enumeration date for this NPI number is 11/4/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily71001710AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q24427MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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