Individual provider Active NPI

Sharlene K Watson, APRN

  • Women's Health Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1689007155
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
218451-4405 Issued in UT
Practice address
1053 E 2100 S
Salt Lake City, UT 84106-2349
Phone
(801) 359-3995
Fax
(801) 359-8489
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 218451-4405 UT Primary

Addresses

Primary practice location

1053 E 2100 S
Salt Lake City, UT 84106-2349

Mailing address

1053 E 2100 S
Salt Lake City, UT 84106-2349
Phone (801) 359-3995

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dudley Medical and Wellness Inc CurrentSince Apr 23, 2013 Accepting new patients
Integrated Primary Care LLC CurrentSince Dec 1, 2017 Accepting new patients
Whole Health Medical Group Past Accepting new patients
Dudley Chiropractic & Wellness Center LC PastSince May 20, 2013 Accepting new patients

Locations

2505 E 3300 S
Ste 201
Salt Lake Cty, UT 84109
Phone (801) 359-3995

77 S 700 E
Ste 230
Salt Lake Cty, UT 84102
Phone (801) 359-3995

1053 E 2100 S
Slc, UT 84106
Phone (801) 359-3955

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.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1689007155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 E 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062349",
            "telephone_number": "801-359-3995",
            "fax_number": "801-359-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 E 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062349",
            "telephone_number": "801-359-3995",
            "fax_number": "801-359-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "SHARLENE",
        "middle_name": "K",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "UT",
            "license": "218451-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.