Individual provider Active NPI

Sharon Watts Brown, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rock Hill, SC
National Provider Identifier
1942742465
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
20557 Issued in SC
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5010957NCMDFamily Nurse Practitioner
20557SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Care LLC Multi-Specialty PastSince Sep 6, 2011 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.

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

Verify at the official NPI Registry.