Active NPIIndividual providerSole proprietor

Mrs. Sharonda L Bagwell, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Lakeville, Massachusetts

NPI Number1871371559
Practice location
109 Rhode Island RD Ste 3B, Lakeville, MA 02347-1370
Fax
774-217-7242
Last updated
September 26, 2026

Sharonda Lashawn Bagwell is a Nurse Practitioner, Psych/Mental Health based in Lakeville, MA. Sharonda Lashawn Bagwell practices in Lakeville, MA and has the professional credentials of PMHNP-BC. The NPI Number for Sharonda Lashawn Bagwell is 1871371559 and holds a License No. RN2389758 (MA). The current practice location address for Sharonda Lashawn Bagwell is 109 Rhode Island RD Ste 3B, Lakeville, MA 02347-1370 and can be reached out via phone at 774-209-2372 and via fax at 774-217-7242.

Provider Profile Details

NPI Number
1871371559
Provider Name
Sharonda Lashawn Bagwell
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
109 Rhode Island RD Ste 3B, Lakeville, MA 02347-1370
Phone Number
774-209-2372
Fax Number
774-217-7242
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
September 15, 2023
Last Update Date
September 26, 2026
Certification Date
September 26, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
109 Rhode Island RD Ste 3B
Lakeville, MA 02347-1370
Zip
02347-1370
Phone Number
774-209-2372
Fax Number
774-217-7242
Lakeville, MA 02347Get directions →

Provider Business Mailing Address Details

Address
109 Rhode Island RD Ste 3B
Lakeville, MA 02347-1370
City
Lakeville
State
MA
Zip
02347-1370
Phone Number
774-209-2372
Fax Number
774-217-7242

License Information

License Number (1)
RN2389758
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (2)
405360
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
1138077
License State (3)
TX
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (4)
APRN04363
License State (4)
RI
Taxonomy (4)
Nurse Practitioner, Psych/Mental Health · 363LP0808X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Sharonda L Bagwell, PMHNP-BC?

The NPI number of Mrs. Sharonda L Bagwell, PMHNP-BC is 1871371559. It was assigned on September 15, 2023 and is currently active in the NPPES registry.

What is the specialty of Mrs. Sharonda L Bagwell, PMHNP-BC?

Mrs. Sharonda L Bagwell, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2389758.

Where does Mrs. Sharonda L Bagwell, PMHNP-BC practice?

The practice location is 109 Rhode Island RD Ste 3B, Lakeville, MA 02347-1370. The office can be reached at 774-209-2372 (phone) or 774-217-7242 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871371559 directly on the NPPES registry website.

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