Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Holly Watters, PA

Individual provider Physician Assistant · NPI 1477371730

Holly Watters, PA is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Oklahoma.

Years since qualifying
1
Licensed in
OK
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

700 NE 13th St
Oklahoma City, OK 73104-5004
Phone: (405) 271-6651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1215 Nw 17th Pl, Newcastle, OK 73065-9740 — (580) 583-6716

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5669 (OK)

Record details

NPI number1477371730
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 26, 2024
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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