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

Misty Shellette Watkins

Individual provider Community Health Worker · NPI 1164309134

Misty Shellette Watkins is a Community Health Worker in LA Grange, Kentucky. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

1201 Woodcreek Dr
LA Grange, KY 40031-9000
Phone: (502) 222-7938
Fax: (502) 265-9092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1164309134
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025