Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1851519839 Deactivated / Inactive NPI Female Practitioner

Diane Susan Watts

Licensed Practical Nurse • Clovis, NM

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Diane Watts has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 23, 2007
NPI Deactivation Date October 23, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Diane Watts was a registered Licensed Practical Nurse practicing in Clovis, NM. Throughout an active medical career spanning 17 years, Diane Watts provided care at the practice location at 1100 W 21ST ST until profile deactivation on 2024-10-23.

Practice Location & Contact Primary Location

Practice Address

1100 W 21st St

Clovis, NM 881014151

Telephone 5057692343
Fax 5057698974
Associated Practice Facility / Clinic
🏢 Mental Health Resources, Inc. Facility NPI 1811049653

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Clovis, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Clovis, NM (173 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MA L17502

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dee Ann Kreutzer , MS LMHC ATR

Counselor - Mental Health

NPI 1093889354

MSLMHCATR

Christopher Tokarski , MA LPCC

Counselor - Mental Health

NPI 1225112154

MALPCC

Geneva Gonzales

Case Manager/Care Coordinator

NPI 1225156581
Richard Holt , LMSW

Social Worker - Clinical

NPI 1417031337

Licensed Master Social Worker

Kelly Hartz , MED

Case Manager/Care Coordinator

NPI 1477627560

Master of Education

Corrine Casarez Turner , MA LPCC

Counselor - Professional

NPI 1508940438

MALPCC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated October 23, 2024

Record deactivated on October 23, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1100 W 21ST ST, CLOVIS, NM 881014151 (Tel: 5057692343)

📍
Updated Business Mailing Address July 08, 2007

Registered at 124 COLUMBIA LANE #12, CLOVIS, NM 88101 (Tel: 5057692345)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DIANE WATTS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Licensed Practical Nurse (License #L17502 in MA)

🟢
Initial NPI Registration & Enumeration April 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Diane Watts. Be the first to share your experience!

Sign in to leave a review for Diane Watts

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1851519839
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2007
Last Update: July 08, 2007
Deactivation Date: October 23, 2024

Mailing Address

124 Columbia Lane #12

Clovis, NM 88101

Phone: 5057692345

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.