SOPHIE THIBODEAU ECKERT (NPI# 1891041968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891041968 |
Entity Type | Individual |
Full Name | SOPHIE THIBODEAU ECKERT |
Credential | NP |
Practice Address |
2003 Medical Pkwy Suite 250 Annapolis MD 21401-7992 |
Practice Telephone | 4102242228 |
Mailing Telephone | 4102242228 |
Enumeration Date | 2012-07-26 |
Last Update Date | 2017-04-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN2274306 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
R208808 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2003 MEDICAL PKWY SUITE 250 |
City | ANNAPOLIS |
State | MD |
Zip Code | 21401-7992 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750383089 | Christy L. Crowther | Nurse Practitioner | 2003 Medical Pkwy, Suite 400, Annapolis, MD 21401-7992 | 2005-05-31 |
1366056715 | Jamie Marie Morrison | Nurse Practitioner | 2003 Medical Pkwy, Annapolis, MD 21401-7992 | 2020-09-03 |
1598204372 | Katherine Hill | Nurse Practitioner | 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-7992 | 2017-02-14 |
1275072001 | Women's Center for Pelvic Health | General Acute Care Hospital | 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-7992 | 2017-02-13 |
1033654538 | Diana Abell | Licensed Practical Nurse | 2003 Medical Pkwy, Suite G50, Annapolis, MD 21401-7992 | 2016-12-20 |
1437605474 | Womens Center for Pelvic Health | Nurse Practitioner | 2003 Medical Pkwy, Wayson Pavillion, Suite 150, Annapolis, MD 21401-7992 | 2016-08-30 |
1457706897 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 2003 Medical Pkwy, Suite 400, Annapolis, MD 21401 | 2016-05-03 |
1154719391 | Anne Arundel Physician Group, LLC | Clinic/Center | 2003 Medical Pkwy, Suite G50, Annapolis, MD 21401-7992 | 2014-12-22 |
1356750996 | Mary Mayzel | Advanced Practice Midwife | 2003 Medical Pkwy, Suite G50, Annapolis, MD 21401-7992 | 2014-08-07 |
1447669197 | Katherine Anita Smollon | Nurse Practitioner | 2003 Medical Pkwy, Wayson Pavillion, Suite 150, Annapolis, MD 21401-7992 | 2014-08-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
Find all providers in zip 21401 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346869690 | Angela Charolett Price | Nurse Practitioner | 2000 Medical Pkwy Ste 306, Annapolis, MD 21401-3745 | 2020-04-15 |
1104011881 | Nancy Ann Long | Nurse Practitioner | 132 Holiday Court, Suite 210, Annapolis, MD 21401 | 2007-09-06 |
1861585119 | Julianna Devereaux Rheault | Nurse Practitioner | 3 Harry S Truman Pkwy, Annapolis, MD 21401-7031 | 2006-10-01 |
1265404644 | Wendy Jo Hannon | Nurse Practitioner | 2000 Medical Pkwy, Ste 306, Annapolis, MD 21401-3742 | 2006-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215426010 | Kimberly Ann Davis | Nurse Practitioner | 4470 Regency Pl Ste 106, White Plains, MD 20695-3085 | 2018-05-07 |
1134666266 | Ursula Rocha | Nurse Practitioner | 858 Clamshell Ct, Edgewater, MD 21037-3505 | 2017-01-26 |
1548421357 | Middletown Valley Women's Health, LLC | Nurse Practitioner | 4253 Old National Pike, Suite 2, Middletown, MD 21769-7702 | 2008-06-24 |
1093925695 | Stephanie Forte Deese | Nurse Practitioner | 900 Caton Ave # 081, Baltimore, MD 21229-5201 | 2007-05-23 |
1609931849 | Pregnancy Aid Centers, Inc. | Nurse Practitioner | 4809 Greenbelt Rd, College Park, MD 20740-2001 | 2006-12-27 |
1518057371 | Jean Staples | Nurse Practitioner | 119 S Hays St, Bel Air, MD 21014-3644 | 2006-10-13 |
1669441093 | Annette Marie Naru | Nurse Practitioner | 41680 Miss Bessie Drive, Suite 102, Leonardtown, MD 20650 | 2006-03-17 |
1932101862 | Mary Rachel Elliott | Nurse Practitioner | 503 Muir St, Cambridge, MD 21613-1848 | 2005-08-11 |
1760092175 | Ashley Dozier | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2020-08-01 |
1639727399 | Nakia Ware | Nurse Practitioner | 605 Charles St, La Plata, MD 20646-5973 | 2019-08-27 |
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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.