MEGHAN P ERICKSEN (NPI# 1366901365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366901365 |
| Entity Type | Individual |
| Full Name | MEGHAN P ERICKSEN |
| Other Name | MEGHAN ELIZABETH PHILLIPS |
| Credential | FNP |
| Practice Address |
4755 Ogletown Stanton Road Suite 1070 Newark DE 19718-2200 |
| Mailing Address |
200 Hygeia Drive Suite 2300 Newark DE 19713-2049 |
| Practice Telephone | 3027331663 |
| Practice Fax Number | 3027331616 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | L1-0040336 | DE | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | R223989 | MD | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
LG-0001228 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4755 OGLETOWN STANTON ROAD SUITE 1070 |
| City | NEWARK |
| State | DE |
| Zip Code | 19718-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397392 | Leonard I Japko | Pathology | 4755 Ogletown Stanton Road, Newark, DE 19718-0001 | 2005-06-21 |
| 1144712613 | Hannah Betters | Physician Assistant | 4755 Ogletown Stanton Road, Suite 2670, Christiana Hospital Dept of Surgery, Newark, DE 19718-2200 | 2018-05-31 |
| 1699291328 | Joy Zaccaria | Physician Assistant | 4755 Ogletown Stanton Road, Suite 5a43, Newark, DE 19718-2200 | 2017-08-15 |
| 1023548914 | Maureen Ann Moffett | Clinical Nurse Specialist | 4755 Ogletown Stanton Road, Neonatal Intensive Care Unit, Newark, DE 19718 | 2017-06-14 |
| 1386182186 | Ashley Boller | Physician Assistant | 4755 Ogletown Stanton Road, Suite 2e99, Newark, DE 19718-2200 | 2017-02-01 |
| 1205387016 | Sonya Modi | Physician Assistant | 4755 Ogletown Stanton Road, Suite 5a43, Newark, DE 19718-2200 | 2016-10-17 |
| 1629420435 | Nicholas R. Klock | Physician Assistant | 4755 Ogletown Stanton Road, Suite 5a43, Newark, DE 19718-2200 | 2016-07-05 |
| 1942681614 | Dana Chanes Manuel | Internal Medicine | 4755 Ogletown Stanton Road, Suite 5a43, Newark, DE 19718-2200 | 2015-06-17 |
| 1821477324 | Thomas Keith Sheehan II | Internal Medicine | 4755 Ogletown Stanton Road, Suite 5a43, Newark, DE 19718-2200 | 2015-05-29 |
| 1780061754 | James Luther Pugh Jr. | Registered Nurse | 4755 Ogletown Stanton Road, Newark, DE 19718-1320 | 2015-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679026272 | Vikashsingh Parshin Rambhujun | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Road, Suite 2875, Newark, DE 19718 | 2016-07-29 |
| 1730536053 | David Nathan Levine | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Christiana Health Care, Newark, DE 19718 | 2016-05-17 |
| 1831570332 | Waqas Abid | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, S-le45, Newark, DE 19718 | 2015-06-11 |
| 1366886368 | Amanda J Taylor | Family Medicine | 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 | 2013-04-20 |
| 1114360872 | Kalpana Suresh | Surgery | 4755 Ogletown-stanton Rd., Newark, DE 19718 | 2013-04-12 |
| 1568580769 | Ember L. Crevar | Pediatrics | 4755 Ogletown Stanton Rd., Christiana Care Hospital - Dept. of Pediatrics, Newark, DE 19718 | 2007-03-26 |
| 1336283803 | Kevin William Smallwood | Physician Assistant | 4755 Ogletown-stanton Dr, Suite 1e50, Newark, DE 19718 | 2007-02-17 |
| 1023066404 | Samuel G Putnam IIi | Radiology | 4755 Ogletown Santon Road, Suite 1e20, Newark, DE 19718 | 2006-05-05 |
| 1053374181 | Hung Quang Dam | Nuclear Medicine | Nuclear Medicine, 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2006-04-10 |
| 1346211018 | Robert Flinn | Internal Medicine | 4655 Ogletown-stanton Road, Suite 5343, Newark, DE 19718 | 2006-01-30 |
| Find all providers in zip 19718 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647892 | Katlyn Brewington | Nurse Practitioner | 1233b Churchmans Rd, Newark, DE 19713-2149 | 2020-10-25 |
| 1851990600 | Brandy Baker | Nurse Practitioner | 494 Yorkshire Dr, Newark, OH 43055-1522 | 2020-10-22 |
| 1508464397 | Abimbola Otufale | Nurse Practitioner | 252b Camden St, Newark, NJ 07103-2434 | 2020-10-13 |
| 1033755608 | Christine Nophut | Nurse Practitioner | 17 Polly Drummond Shpg Ctr, Newark, DE 19711-4820 | 2019-11-19 |
| 1215578091 | Lucy Ogechi Efobi | Nurse Practitioner | 194 Clinton Ave Lowr Level, Newark, NJ 07108-2809 | 2019-10-03 |
| 1518518323 | Jasmine Barksdale | Nurse Practitioner | 4110 Ogletown Stanton Rd, Newark, DE 19713-4169 | 2019-09-23 |
| 1467013136 | Getrude Tate Nguatem | Nurse Practitioner | Churchman Vlg, Newark, DE 19713-2068 | 2019-06-24 |
| 1285298679 | Olufolake Remi Adepoju | Nurse Practitioner | 258 Chapman Rd, Newark, DE 19702-5445 | 2019-05-01 |
| 1285100420 | Vida Araba Paintsil | Nurse Practitioner | University Hospital- Nursing Office, 90 Bergen Street, Newark, NJ 07102-0710 | 2018-10-15 |
| 1992291280 | Palak Praful Desai | Nurse Practitioner | 1 Chestnut Hill Plz, Newark, DE 19713-2701 | 2018-07-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.