Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1104057215 Deactivated / Inactive NPI Female Practitioner

Sandra K Watts , STNA

Nursing Facility/Intermediate Care Facility • Mansfield, OH

⚠️

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, Sandra Watts has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 06, 2009
NPI Deactivation Date January 30, 2025
Total Practice Duration ~16 Years of Practice (2009 – 2025)

Professional Overview & Biography Verified Profile Summary

Sandra Watts, STNA was a registered Nursing Facility/Intermediate Care Facility practicing in Mansfield, OH. Throughout an active medical career spanning 16 years, Sandra Watts provided care at the practice location at 58 MASSA AVE until profile deactivation on 2025-01-30.

Practice Location & Contact Primary Location

Practice Address

58 Massa Ave

Mansfield, OH 449071224

Telephone 4195227921

Specialty Benchmarks & Practice Insights

Comparative analytics for Nursing Facility/Intermediate Care Facility in Mansfield, OH

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

Practicing in Mansfield, OH (9 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

Nursing Facility/Intermediate Care Facility Primary Specialty

NUCC Taxonomy Code: 313M00000X

State License OH 400679181007

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated January 30, 2025

Record deactivated on January 30, 2025

NPI Profile Active August 06, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2009

Registered at 58 MASSA AVE, MANSFIELD, OH 449071224 (Tel: 4195227921)

📍
Updated Business Mailing Address August 06, 2009

Registered at 58 MASSA AVE, MANSFIELD, OH 449071224 (Tel: 4195227921)

👤
Provider Name / Credentials Updated August 06, 2009

Recorded as SANDRA WATTS, STNA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2009

Nursing Facility/Intermediate Care Facility (License #400679181007 in OH)

🟢
Initial NPI Registration & Enumeration August 06, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Sandra Watts. Be the first to share your experience!

Sign in to leave a review for Sandra Watts

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1104057215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2009
Last Update: August 06, 2009
Deactivation Date: January 30, 2025

Mailing Address

58 Massa Ave

Mansfield, OH 449071224

Phone: 4195227921

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.