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

Kaitlyn Wattley, CNP

Individual provider Family Nurse Practitioner · NPI 1356714067

Kaitlyn Wattley, CNP is a Nurse Practitioner in Hudson, Ohio. Qualified in 2015, 11 years ago. Practices with Crystal Clinic, Inc, a 45-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2015
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1310 Corporate Dr
Hudson, OH 44236-4430
Phone: (330) 475-1631
Fax: (330) 475-1634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.18327 (OH)

Record details

NPI number1356714067
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedNovember 3, 2015
Last updated in NPPESJuly 8, 2021
Certification dateJuly 8, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Crystal Clinic, Inc. — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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