MYRA WATTS FNP
NPI 1417959727
Nurse Practitioner - Family in Kingsport, TN

Active since June 01, 2005
4848 FORT HENRY DR, KINGSPORT, TN 37663(423) 239-5141(423) 239-4869 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Myra Watts Fnp NPPES

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

MYRA WATTS FNP (NPI 1417959727) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (APN6294) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1417959727
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMYRA WATTSCredential: FNP
Location Address4848 FORT HENRY DRKingsport, TN 37663-3347
Mailing AddressPo Box 9Kingsport, TN 37662-0009 · (423) 857-2066 · Fax (423) 857-2070
Fax(423) 239-4869
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateJuly 14, 2015
NPI 1417959727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in TN · APN6294 Licensed in VA · 0024126669
4848 FORT HENRY DR, Kingsport, TN 37663

Other Identifiers 9

Medicare UPIN3700592TN
Medicare PINC30810TN
Medicare PIN0281780001TN
Medicare PIN500007566TN
Medicaid007785976VA
Medicare UPINS60540
Medicaid3345605TN
Medicare PIN0281780003TN
Medicare UPIN103I086169TN

Other Providers at the Same Location NPPES 4

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

Family Medicine
4848 FORT HENRY DR
KINGSPORT, TN 37663
Nurse Practitioner (Family)
4848 FORT HENRY DR
KINGSPORT, TN 37663
Physician Assistant
4848 FORT HENRY DR
KINGSPORT, TN 37663
Family Medicine
4848 FORT HENRY DR
KINGSPORT, TN 37663

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 Myra Watts's NPI number?

The NPI number for Myra Watts is 1417959727. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Myra Watts located?

Myra Watts practices at 4848 Fort Henry Dr, Kingsport, TN 37663. The listed phone number is (423) 239-5141.

What is Myra Watts'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 Myra Watts was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.