Sharla Deneen Renee Watkins

Primary specialty

ContractorTaxonomy code 171W00000X

License

10706695 Issued in AZ

Practice address

1467 E 12TH St
Casa Grande, AZ 85122-3696

Phone

(520) 721-1887

Fax

(520) 407-5398

NPI assigned

May 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1801115738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 E 12TH ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851223696",
            "telephone_number": "520-721-1887",
            "fax_number": "520-407-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 E 12TH ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851223696",
            "telephone_number": "520-721-1887",
            "fax_number": "520-407-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "SHARLA",
        "middle_name": "DENEEN RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AZ",
            "license": "10706695",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADES/DEPARTMENT OF CHILD SAFETY",
            "identifier": "10706695",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grant D. Walton, DMD
• Jack Wang
• George Patrick Warpinski
• Jennifer Wartman
• Yasan Rashad Washington, LMSW
• Michelle Sue Wearing, FNP-C
• Carina Weaver
• Douglas Mark Weber, M.D.
• Charissa Wee, MS
• Well Fit Behavior LLC

• Contractor in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Contractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.