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MS. GAY GUNDERSEN WATSON RN FNP
NPI 1164784518
Nurse Practitioner - Family in Fort Wayne, IN

Active since June 12, 2012
7900 W JEFFERSON BLVD STE 304, FORT WAYNE, IN 46804(260) 969-6200(260) 969-6201 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Gay Gundersen Watson Rn Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. GAY GUNDERSEN WATSON RN FNP (NPI 1164784518) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71004003A) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1164784518
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. GAY GUNDERSEN WATSONCredential: RN FNP
Location Address7900 W JEFFERSON BLVD STE 304Fort Wayne, IN 46804-4128
Mailing AddressPo Box 8857Fort Wayne, IN 46898-8857 · (260) 969-6200 · Fax (260) 969-6201
Phone(260) 969-6200
Fax(260) 969-6201
Sole ProprietorNo
Enumeration DateJune 12, 2012
Last NPPES UpdateAugust 13, 2013
✔ NPI 1164784518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71004003A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 28161069A (IN)
7900 W JEFFERSON BLVD STE 304, Fort Wayne, IN 46804
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Other Identifiers 3

Medicare PIN252560005IN
Medicaid201092300IN
Other000000780053IN · Anthem

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA K. GEPHART NP-C
Nurse Practitioner (Family)
7900 W JEFFERSON BLVD STE 304
FORT WAYNE, IN 46804
Allen County (260) 458-3600
SUZANNE B. SMITH-ELEKES DO
Internal Medicine (Infectious Disease)
7900 W JEFFERSON BLVD STE 304
FORT WAYNE, IN 46804
Allen County (260) 458-3600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gay Gundersen Watson's NPI number?

The NPI number for Gay Gundersen Watson is 1164784518. It was assigned to this individual provider in the NPPES registry on June 12, 2012.

Where is Gay Gundersen Watson located?

Gay Gundersen Watson practices at 7900 W Jefferson Blvd Ste 304, Fort Wayne, IN 46804. The listed phone number is (260) 969-6200.

What is Gay Gundersen Watson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Gay Gundersen Watson was last updated on August 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.