Active NPI
Sharon Watts Brown, FNP-C, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Rock Hill, SC
National Provider Identifier
1942742465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 20557
- Practice address
- 1477 Ebenezer Rd Ste G
Rock Hill, SC 29732-2338 - Phone
- (803) 386-1846
- NPI assigned
- Nov 15, 2016
- Last updated
- Nov 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5010957 | NC | |
| Family Nurse Practitioner | 363LF0000X | 20557 | SC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5010957 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 20557 | SC | Primary |
Addresses
Primary practice location
1477 Ebenezer Rd Ste G
Rock Hill, SC 29732-2338
Mailing address
116 Sethwood Dr
Rock Hill, SC 29732-8286
Phone (704) 516-9357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5010957 | NC | MD | Family Nurse Practitioner |
| 20557 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Care LLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Nurse Practitioner
- Rock Hill, SC
- NPI 1477144418
-
- Community Based Hospice Care Agency
- Rock Hill, SC
- NPI 1891005104
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1942742465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 SETHWOOD DR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297328286",
"telephone_number": "704-516-9357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1477 EBENEZER RD STE G",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322338",
"telephone_number": "803-386-1846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SHARON",
"middle_name": "WATTS",
"credential": "FNP-C, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-15",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5010957",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "20557",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5010957",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "20557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.