| Kimberly Groht Watson, FNP-BC | |
|
6550 Main St Ste 1000, Zachary, LA 70791-4092 | |
| (225) 654-1559 | |
| (225) 654-6212 |
| Full Name | Kimberly Groht Watson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 6550 Main St Ste 1000, Zachary, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992461461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 222087 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lane Regional Medical Center | Zachary, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 662 |
| Entity Name | Cardiovascular Institute Of The South, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982689113 PECOS PAC ID: 3779497441 Enrollment ID: O20031117000706 |
| Entity Name | Mark C Mouton Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760626170 PECOS PAC ID: 5597816207 Enrollment ID: O20090619000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Groht Watson, FNP-BC 6550 Main St Ste 1000, Zachary, LA 70791-4092 Ph: (225) 654-1559 | Kimberly Groht Watson, FNP-BC 6550 Main St Ste 1000, Zachary, LA 70791-4092 Ph: (225) 654-1559 |
Michael Evan Williams, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6550 Main St Ste 1000, Zachary, LA 70791 Phone: 225-654-1559 Fax: 225-654-6212 | |
Lori S Grace, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6550 Main St Ste 3500, Zachary, LA 70791 Phone: 225-658-6780 Fax: 225-658-6781 | |
Courtney B Johnson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19900 Old Scenic Hwy Ste H, Zachary, LA 70791 Phone: 225-570-2618 | |
Jeremy Dedeaux, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2335 Church St, Suite E, Zachary, LA 70791 Phone: 225-654-3607 Fax: 225-658-2262 | |
Mrs. Celeste M Howard-bourque, PMHNP-BC, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4544 W Central Ave, Zachary, LA 70791 Phone: 337-739-9824 Fax: 504-208-4952 | |
Loryn Culver Matthews, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18989 Old Scenic Hwy, Zachary, LA 70791 Phone: 225-654-8850 | |
Sarah Wallace Eisworth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19900 Old Scenic Hwy, Zachary, LA 70791 Phone: 225-570-2618 Fax: 225-570-8539 |