Active NPI
Sherry Watts, NP-C, PMHNP-BC
- Family Nurse Practitioner
- Placerville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95011981
- Practice address
- 2844 Coloma St
Placerville, CA 95667-4406 - Phone
- (281) 451-3611
- NPI assigned
- Jun 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95011981 | CA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95011981 | CA | |
| Family Nurse Practitioner | 363LF0000X | 819891 | NV |
Addresses
Primary practice location
2844 Coloma St
Placerville, CA 95667-4406
Mailing address
2844 Coloma St
Placerville, CA 95667-4406
Phone (530) 626-9240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95011981 | CA | MD | Family Nurse Practitioner |
| 819891 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California PHS PC | Current | Accepting new patients | |
| J M Geiss DO Apc | Current | Accepting new patients | |
| Siyan Clinical Corporation | Current | Accepting new patients | |
| Ikigai Consulting & Nursing Corp | Current | Accepting new patients |
Locations
1420 E Palomar St
Chula Vista, CA 91913
7638 N Ingram Ave
#111A
Fresno, CA 93711
3415 S Sepulveda Blvd
Ste 1100
Los Angeles, CA 90034
Phone (424) 348-4558
1900 Coffee Rd
Modesto, CA 95355
Phone (209) 491-0904
520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266
2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271
3550 Churn Creek Rd
Redding, CA 96002
Phone (530) 222-3630
5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663
28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051
480 Tesconi Cir
Ste B
Santa Rosa, CA 95401
Phone (707) 206-7268
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- sherry.watts.1@9357.direct.athenahealth.com
- https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Santa Rosa, CA
- NPI 1568732972
-
- Nurse Practitioner
- Sonoma, CA
- NPI 1275476624
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1649932781
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1063825289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1346809316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2844 COLOMA ST",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956674406",
"telephone_number": "530-626-9240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2844 COLOMA ST",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956674406",
"telephone_number": "281-451-3611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "SHERRY",
"credential": "NP-C, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-12",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95011981",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95011981",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "819891",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.