MYRA WATTS FNP NPI 1417959727

NPI Information

  • NPI: 1417959727
  • Provider Name: MYRA WATTS, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 4848 FORT HENRY DR
    KINGSPORT, TN
    ZIP 37663
  • Phone: (423) 239-5141

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NPI Details

Myra Watts, FNP is a family nurse practitioner in Kingsport, TN. Myra Watts, FNP NPI is 1417959727. 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:

4848 FORT HENRY DR
KINGSPORT, TN
ZIP 37663-347
Phone: (423) 239-5141
Fax: (423) 239-4869

The enumeration date for this NPI number is 6/1/2005 and was last updated on 7/14/2015.

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 PractitionerFamily0024126669VIRGINIANo
2363LF0000XNurse PractitionerFamilyAPN6294TENNESSEEYes

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
13700592MEDICARE UPINTENNESSEE
2C30810MEDICARE PINTENNESSEE
30281780001MEDICARE PINTENNESSEE
4500007566MEDICARE PINTENNESSEE
5007785976MEDICAIDVIRGINIA
6S60540MEDICARE UPIN
73345605MEDICAIDTENNESSEE
80281780003MEDICARE PINTENNESSEE
9103I086169MEDICARE UPINTENNESSEE

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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