Individual provider Active NPI

Sharon Patricia Gamache, RN

  • Registered Nurse
  • Charlestown, NH
National Provider Identifier
1174099493
Registry record updated Jan 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
037352-21 Issued in NH
Practice address
164 Old Springfield Rd
Charlestown, NH 03603-4504
Phone
(603) 826-0840
Fax
(603) 826-0839
NPI assigned
Oct 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 037352-21 NH Primary

Addresses

Primary practice location

164 Old Springfield Rd
Charlestown, NH 03603-4504

Mailing address

8 Karen PL
Claremont, NH 03743-4279
Phone (603) 953-5513

Other identifiers 1

IdentifierTypeStateIssuer
037352-21OtherNHNURSING BOARD

Other names 1

  • Sharon Patricia Campbell Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
037352-21NHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell House, LLC CurrentSince Jan 26, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1174099493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 KAREN PL",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037434279",
            "telephone_number": "603-953-5513",
            "fax_number": "603-504-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 OLD SPRINGFIELD RD",
            "city": "CHARLESTOWN",
            "state": "NH",
            "postal_code": "036034504",
            "telephone_number": "603-826-0840",
            "fax_number": "603-826-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMACHE",
        "first_name": "SHARON",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "037352-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING BOARD",
            "identifier": "037352-21",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "CAMPBELL",
            "middle_name": "PATRICIA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlestown, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2020; 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.