CHANNING ANNE SOFKO (NPI# 1427519610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427519610 |
Entity Type | Individual |
Full Name | CHANNING ANNE SOFKO |
Credential | PHD |
Practice Address |
Bay Pines Vahcs 10000 Bay Pines Blvd Bay Pines FL 33744 |
Mailing Address |
Po Box 5005 Bay Pines FL 33744-5005 |
Practice Telephone | 7273986661 |
Enumeration Date | 2019-03-29 |
Last Update Date | 2019-05-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS01739 | RI | Behavioral Health & Social Service Providers |
Street Address |
BAY PINES VAHCS 10000 BAY PINES BLVD |
City | BAY PINES |
State | FL |
Zip Code | 33744 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487267258 | Katlyn Shelley Starr | Social Worker | 10000 Bay Pines Vahca, Bay Pines, FL 33744 | 2020-08-31 |
1518508555 | Jesse James Callahan | Registered Nurse | Jerri-jean Miller, Clinical Staff Affairs Va Healthcare System, Bay Pines, FL 33744 | 2019-10-01 |
1891347118 | Shakisha Lawson | Nurse Practitioner | Bay Pines Va Hospital, 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2019-07-16 |
1255710299 | Lisa Ann Snyder | Social Worker | 10000 Bay Pines Blvd Bldg 102 Room D185, Bay Pines Vahcs (116d), St Petersburg, FL 33744 | 2015-05-22 |
1598011272 | Emily G King | Clinical Neuropsychologist | 10,000 Bay Pines Blvd (116b), Bay Pines, FL 33744 | 2012-07-31 |
1245494376 | Saifu Daniel | Internal Medicine | 10000 Bay Pine Blvd, Bay Pines Va Hospital, Bay Pines, FL 33744 | 2008-07-17 |
1114195047 | Brook Hay | Psychologist | 10000 Bay Pines Blvd (bay Pines Va), Bldg. 102, C Wing (116c), Bay Pines, FL 33744 | 2008-02-13 |
1831399260 | Rodrique A Rodney | Pharmacist | Bay Pines Va 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2007-07-24 |
1831395979 | Jennifer Lynn Thompson | Nurse Practitioner | 10,000 Baypines Blvd, Bldg 101, St. Petersburg, FL 33744 | 2007-06-25 |
1346326261 | Jan Steven Hirschfield | Internal Medicine | Vamc/10000 Bay Pines Blvd, 111m, St. Petersburg, FL 33744 | 2006-10-31 |
Find all providers in zip 33744 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114195047 | Brook Hay | Psychologist | 10000 Bay Pines Blvd (bay Pines Va), Bldg. 102, C Wing (116c), Bay Pines, FL 33744 | 2008-02-13 |
1598961138 | Dawn Floe Johnson | Psychologist | Po Box 5005, Mental Health & Behavioral Sciences Service (116), Bay Pines, FL 33744-5005 | 2007-06-21 |
1225638943 | Mary Catherine Mercer | Psychologist | 10000 Bay Pines Blvd, Mh&bss (116), Bay Pines, FL 33744 | 2020-10-30 |
1154848836 | Leona Brooke Mccurry | Psychologist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2017-08-24 |
1699204594 | Jada Jerusha Stewart-willis | Psychologist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2017-06-06 |
1437695202 | Teresa Irene Bobo | Psychologist | 10000 Bay Pines Blvd, Bay Pines Va Healthcare System, Bay Pines, FL 33744-8200 | 2017-01-17 |
1801297718 | Kathryn Michael | Psychologist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2014-09-10 |
1699193789 | Ashley Casto | Psychologist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2014-04-04 |
1770874067 | Sarah Ruth Banka Barron | Psychologist | 10000 Bay Pines Blvd, Bldg 102 (domc), Bay Pines, FL 33744-8200 | 2011-04-21 |
1689907032 | Jessica Anne Keith | Psychologist | 10000 Bay Pines Boulevard, Bay Pines Va Healthcare System Mh&bss, Bay Pines, FL 33744 | 2009-09-16 |
Find all providers in BAY PINES |
Please comment or provide details below to improve the information on CHANNING ANNE SOFKO.
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.