SOFI MERY ABRAHAM (NPI# 1578097200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578097200 |
Entity Type | Individual |
Full Name | SOFI MERY ABRAHAM |
Credential | N.P. |
Practice Address |
4221 S Zephyr St Lakewood CO 80235-1928 |
Practice Telephone | 3032635721 |
Mailing Telephone | 3032635721 |
Enumeration Date | 2017-04-19 |
Last Update Date | 2020-08-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0993014-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | MEDICARE PTAN | 876021 | 01 |
CO | 1578097200 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
9451 Huron St, Thornton, CO 802605426 | 3036504042 |
Street Address |
4221 S ZEPHYR ST |
City | LAKEWOOD |
State | CO |
Zip Code | 80235-1928 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295244051 | Nicole Gan | Behavioral Analyst | 7220w. Jefferson Ave Suite 202, Lakewood, CA 80235 | 2017-09-25 |
1336684059 | Preferred Homecare Infusion, LLC | Durable Medical Equipment & Medical Supplies | 6900 W Jefferson Ave Ste 130, Lakewood, CO 80235 | 2017-01-04 |
1457501637 | Patrick John Rydell | Speech-Language Pathologist | 3636 S. Independence St., Lakewood, CO 80235 | 2008-09-24 |
1164631644 | Carole M. Emanuel | Dentist | 7373 West Jefferson Ave., Suite #304, Lakewood, CO 80235 | 2007-05-22 |
1235259680 | Christopher David Elson | Dentist | 7373 W. Jefferson Ave #403, Lakewood, CO 80235 | 2007-03-30 |
1750420840 | Kelly Z Crim | Counselor | 3900 S. Wadsworth Blvd Suite 360, Lakewood, CO 80235 | 2007-02-05 |
1750469714 | Paul Henry Arendt | Dentist | 7373 W Jefferson Ave #304, Lakewood, CO 80235 | 2006-11-01 |
1750491544 | Sharon Diane Hilderbrant | Psychologist | 7220 W Jefferson Ave, Suite 307, Lakewood, CO 80235 | 2006-08-30 |
1346766466 | Jayden Brooke Cornejo | Behavior Technician | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235 | 2017-08-21 |
1114478575 | Brennan Bonati | Dentist | 7373 W Jefferson Ave, Lakewood, CO 80235 | 2016-10-20 |
Find all providers in zip 80235 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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1609402817 | Bridgit V Wedgle | Nurse Practitioner | 2556 S Jellison Ct, Lakewood, CO 80227-2872 | 2020-03-19 |
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1972149490 | Richard Allan Coronel Sy | Nurse Practitioner | 11645 Walcroft St, Lakewood, CA 90715-1356 | 2019-11-19 |
1609411867 | Jennifer Lynn Wondel | Nurse Practitioner | 10424 W Arkansas Dr, Lakewood, CO 80232-5014 | 2019-11-12 |
1457901555 | Nancy Wairimu Minjire | Nurse Practitioner | 9537 Gravelly Lake Dr Sw # E10, Lakewood, WA 98499-1513 | 2019-09-19 |
1619432325 | Soroh Neuberger | Nurse Practitioner | 232 Jamescrest Ct, Lakewood, NJ 08701-4708 | 2019-02-06 |
1487118782 | Krista Leigh Petry | Nurse Practitioner | 4720 Baker St, Lakewood, NY 14750-9772 | 2019-01-31 |
1649740093 | Svetlana Polyakova | Nurse Practitioner | 8316 W Eastman Pl, Lakewood, CO 80227-6240 | 2018-11-28 |
Find all providers in LAKEWOOD |
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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.