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

Katherine Watkins Mayo

Individual provider Registered Nurse · NPI 1235954413

Katherine Watkins Mayo is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2013, 13 years ago. Practices with Fg Capital PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

516 W Bonds Ranch Rd
Fort Worth, TX 76131-3904
Phone: (817) 488-6369
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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 1180013 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 851326 (TX)

Record details

NPI number1235954413
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 21, 2024
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024
Mailing address2009 Tealwood Blvd, Flower Mound, TX 75028-7273

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Fg Capital Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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