Laverne Sharisse Watts, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R243904 Issued in MD

Practice address

37 Alden St Apt L
Hartford, CT 06114-1018

Phone

(860) 372-2526

NPI assigned

Mar 8, 2020

Last updated

Oct 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC, VA, CT4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mozaic Senior Life Nursing home, Bridgeport, CT, CCN 075353
• Richfield Health Center - Salem Nursing home, Salem, VA, CCN 495013
• Friendship Health and Rehab Center - South Nursing home, Roanoke, VA, CCN 495421
• Carroll Lutheran Village Nursing home, Westminster, MD, CCN 215133
• Friendship Health and Rehab Center Nursing home, Roanoke, VA, CCN 495092

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Post Acute Specialists, LLC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1114441565

  CT, DC, MD, VA

  Medicare reassignment Care Compare group NPD
• Wellness Source LLC

  dba Your Wellness Sources

  • Family Nurse Practitioner
  • Hyattsville, MD
  • NPI 1780031724

  DC

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jewish Home for the Elderly of Fairfield County Incorporated

  dba Mozaic Senior Life

  • Skilled Nursing Facility
  • Bridgeport, CT
  • NPI 1083602346

  Nursing home

  Care Compare affiliation
• Carroll Lutheran Village Inc

  • Skilled Nursing Facility
  • Westminster, MD
  • NPI 1437162526

  Nursing home

  Care Compare affiliation
• Friendship Health and Rehab Center South Inc

  • Skilled Nursing Facility
  • Roanoke, VA
  • NPI 1346616422

  Nursing home

  Care Compare affiliation
• Friendship Health and Rehab Center, Inc.

  • Skilled Nursing Facility
  • Roanoke, VA
  • NPI 1417954140

  Nursing home

  Care Compare affiliation
• Friendship RL LLC

  dba Richfield Health Center - Salem

  • Skilled Nursing Facility
  • Salem, VA
  • NPI 1932981230

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1583625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1275168478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 RIDGELY AVE",
            "address_2": "STE 201",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011083",
            "telephone_number": "410-224-4887",
            "fax_number": "410-224-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 ALDEN ST APT L",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141018",
            "telephone_number": "860-372-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "LAVERNE",
        "middle_name": "SHARISSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-08",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R243904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Annmarie Watson
• Michele Granville Watson, LCSW
• Aren Douglas Watt
• Jessica Watt, LCSW
• Stephanie Watt, CPNP
• Jodine Wauchope
• Jacob Wayne, CRNA
• Ilana Yael Waynik, M.D.
• We Care Family Dental Center
• Susan Linda Weatherby, C.R.N.A.

• Nurse Practitioner in Hartford, CT
• Providers in Hartford, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.