Provider Demographics
NPI:1285660662
Name:LLOYD-WATKINS, KATHRYN ANN (APN WHNP)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ANN
Last Name:LLOYD-WATKINS
Suffix:
Gender:F
Credentials:APN WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2529 SOUTH 1ST STREET
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704
Mailing Address - Country:US
Mailing Address - Phone:512-972-4722
Mailing Address - Fax:512-972-4662
Practice Address - Street 1:2529 SOUTH 1ST STREET
Practice Address - Street 2:SOUTH AUSTIN COMMUNITY HEALTH CENTER
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704
Practice Address - Country:US
Practice Address - Phone:512-972-4722
Practice Address - Fax:512-972-4662
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX429536363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX132423803Medicaid
TX89N329Medicare PIN
S54867Medicare UPIN