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Deactivated NPI 1285963926 Deactivated / Inactive NPI Female Practitioner

Sharron P Watters , LPN

Licensed Practical Nurse • Sanford, ME

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sharron Watters has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 09, 2009
NPI Deactivation Date June 15, 2021
Total Practice Duration ~12 Years of Practice (2009 – 2021)

Professional Overview & Biography Verified Profile Summary

Sharron Watters, LPN was a registered Licensed Practical Nurse practicing in Sanford, ME. Throughout an active medical career spanning 12 years, Sharron Watters provided care at the practice location at 32 PATRIOTS LN until profile deactivation on 2021-06-15.

Practice Location & Contact Primary Location

Practice Address

32 Patriots Ln

Sanford, ME 040732552

Telephone 2074906900
Fax 2073240546
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Sanford, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Sanford, ME (80 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License ME P007889

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
NPI 1013044429

Doctor of Psychology (Psy.D.)

Jennifer Quimby , RD

Dietitian, Registered

NPI 1023603107

Registered Dietitian

Dr. Robert Grace , DMD

Dentist - General Practice

NPI 1083647804

Doctor of Dental Medicine

Janet Hamilton , LMSWCC

Social Worker - Clinical

NPI 1093085722
Jennifer Ridolfi , LCSW

Social Worker - Clinical

NPI 1306188016

Licensed Clinical Social Worker

Kathleen Ingellis

Nurse Practitioner - Family

NPI 1306583182

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 15, 2021

Record deactivated on June 15, 2021

NPI Profile Active December 09, 2009

NPI status registered as active in NPPES database

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Updated Practice Location December 09, 2009

Registered at 32 PATRIOTS LN, SANFORD, ME 040732552 (Tel: 2074906900)

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Updated Business Mailing Address December 09, 2009

Registered at PO BOX 72, SANFORD, ME 040730072 (Tel: 2074906900)

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Provider Name / Credentials Updated December 09, 2009

Recorded as SHARRON WATTERS, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2009

Licensed Practical Nurse (License #P007889 in ME)

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Initial NPI Registration & Enumeration December 09, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285963926
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2009
Last Update: December 09, 2009
Deactivation Date: June 15, 2021

Mailing Address

Po Box 72

Sanford, ME 040730072

Phone: 2074906900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.