Shari A Waite, FNP

Individual provider Active NPI Family Nurse Practitioner · Leominster, MA

NPI 1972509545 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1972509545
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
211741 (MA)
Practice address
50 Memorial Dr
Ste 110
Leominster, MA 01453-2238
Phone
(978) 840-1388
Fax
(978) 534-4925
NPI assigned
Jun 28, 2005
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
211741MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Donald S. Levine, M.D. , P.C.. Past Accepting new patients
Sun Medical Clinic, PC Past
since Aug 16, 2007
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 211741 MA
Family Nurse Practitioner 363LF0000X 211741 MA Yes

Addresses

Primary practice location

50 Memorial Dr
Ste 110
Leominster, MA 01453-2238

Mailing address

50 Memorial Dr
Ste 110
Leominster, MA 01453-2238
Phone (978) 840-1388

Other identifiers

IdentifierTypeStateIssuer
9707361MedicaidMA
0379450OtherMAMEDICAID-INDIVIDUAL

Other providers in Leominster, MA

All providers in Leominster, MA · Family Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.