MCKENZIE S WATTS FNP NPI 1417626177

NPI Information

  • NPI: 1417626177
  • Provider Name: MCKENZIE S WATTS, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 38D2269809
  • Address: 10 COBURG RD STE 201
    EUGENE, OR
    ZIP 97401
  • Phone: (541) 687-8581

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NPI Details

Mckenzie S Watts, FNP is a family nurse practitioner in Eugene, OR with 1 years of experience. Mckenzie S Watts, FNP NPI is 1417626177. 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:

10 COBURG RD STE 201
EUGENE, OR
ZIP 97401-487
Phone: (541) 687-8581

The NPI 1417626177 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 38D2269809 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2021 and was last updated on 9/4/2025.

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 PractitionerFamily10046210OREGONYes
2163WM0705XRegistered NurseMedical-Surgical201605291RNOREGONNo

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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