MRS. KIMBERLY LA'DAWN WATSON CNP
NPI 1639589773
Nurse Practitioner - Family in Dayton, OH

Q: What is Kimberly Watson's NPI number?

The NPI number for Kimberly Watson is 1639589773. It was assigned to this individual provider in the NPPES registry on April 29, 2014. The provider is also known as Ms. Kimberly La'dawn Miller Cnp.

Q: What is Kimberly Watson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Watson was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 29, 2014PECOS Enrolled

2132 E 3RD ST, DAYTON, OH 45403(397) 528-6850 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Kimberly La'dawn Watson Cnp NPPES

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

MRS. KIMBERLY LA'DAWN WATSON CNP (NPI 1639589773) is an individual family provider in Dayton, Ohio, licensed in Ohio (NP-C F0414012) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639589773

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KIMBERLY LA'DAWN WATSONCredential: CNP

Location Address2132 E 3RD STDayton, OH 45403-1991

Mailing Address2010 Benson DrDayton, OH 45406-4406 · (937) 241-5638

Phone(397) 528-6850

Sole ProprietorNo

Enumeration DateApril 29, 2014

Last NPPES UpdateFebruary 28, 2024

NPPES CertifiedFebruary 28, 2024

✔ NPI 1639589773 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

License✔ Licensed in OH · NP-C F0414012

2132 E 3RD ST, Dayton, OH 45403

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Other Names 1

Former Name (1)Ms. Kimberly La'dawn Miller Cnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kimberly La'dawn Watson Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 11

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

COMMUNITY HEALTH CENTERS OF GREATER DAYTON

Pharmacy (Community/Retail Pharmacy)