Individual provider Active NPI

Sharon Lanette Merritt-Watson

  • Personal Care Attendant
  • Sumter, SC
National Provider Identifier
1114676707
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
IHCP-1626 Issued in SC
Practice address
712 Bultman Dr Ste C
Sumter, SC 29150-2553
Phone
(803) 526-1952
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X IHCP-1626 SC Primary

Addresses

Primary practice location

712 Bultman Dr Ste C
Sumter, SC 29150-2553

Mailing address

310 Aberlour Dr
Sumter, SC 29154-8185
Phone (919) 333-5584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IHCP-1626SCMDPersonal Care Attendant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1114676707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 ABERLOUR DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291548185",
            "telephone_number": "919-333-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 BULTMAN DR STE C",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502553",
            "telephone_number": "803-526-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT-WATSON",
        "first_name": "SHARON",
        "middle_name": "LANETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "SC",
            "license": "IHCP-1626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.