SOPHIA STEPHANIE RICKEVICIUS (NPI# 1912472093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912472093 |
| Entity Type | Individual |
| Full Name | SOPHIA STEPHANIE RICKEVICIUS |
| Credential | FAMILY NURSE PRACTIT |
| Practice Address |
30 Park Ln E New Milford CT 06776-2510 |
| Mailing Address |
2461 Litchfield Rd Watertown CT 06795-1015 |
| Practice Telephone | 8603550971 |
| Mailing Telephone | 8606893919 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7866 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19 Poplar St, New Milford, CT 067762901 | 8603549365 |
| Street Address |
30 PARK LN E |
| City | NEW MILFORD |
| State | CT |
| Zip Code | 06776-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003128588 | Candlewood Valley Care Ctr | Skilled Nursing Facility | 30 Park Ln E, New Milford, CT 06776-2510 | 2010-07-13 |
| 1336507722 | New Milford Rehabilitation LLC | Skilled Nursing Facility | 30 Park Ln E, New Milford, CT 06776-2510 | 2016-02-01 |
| 1356710784 | Alyce Creiner | Speech-Language Pathologist | 30 Park Ln E, New Milford, CT 06776-2510 | 2015-09-16 |
| 1467830901 | Lucindia Mcinerney | Physical Therapy Assistant | 30 Park Ln E, New Milford, CT 06776-2510 | 2015-05-17 |
| 1669859955 | Kathleen Boyce | Occupational Therapist | 30 Park Ln E, New Milford, CT 06776-2510 | 2015-05-06 |
| 1295112571 | Chandra Rogers | Physical Therapist | 30 Park Ln E, New Milford, CT 06776-2510 | 2015-05-06 |
| 1427435882 | Jennifer Lee Tuz | Physical Therapist | 30 Park Ln E, New Milford, CT 06776-2510 | 2015-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639680879 | Foot & Ankle Specialists of Ct PC | Podiatrist | 7 Pickett District Road, New Milford, CT 06776 | 2017-10-16 |
| 1477715035 | Abra Grize Mabasa | Family Medicine | 169 Danberry Rd., New Milford, CT 06776 | 2008-06-25 |
| 1134393259 | Brian A Fusillo | Dentist | One Aspetuck Ave, New Milford, CT 06776 | 2008-04-18 |
| 1972791499 | New Milford Chiropractic | Chiropractor | 5 Old Town Park Road, South End Plaza Unit 70, New Milford, CT 06776 | 2007-10-10 |
| 1366637084 | Mary Mackessy | Emergency Medicine | 21 Elm Street, New Milford, CT 06776 | 2007-09-06 |
| 1659407021 | Margaret Martha Babington | Specialist/Technologist | 101 Aspetuck Ave, Canterbury School, New Milford, CT 06776 | 2007-02-27 |
| 1053448456 | Lisa Gay Witham | Specialist/Technologist | 101 Aspetuck Ave., Canterbury School, New Milford, NH 06776 | 2007-02-27 |
| 1710049754 | Linda Gail Smith | Social Worker | New Milford Hospital Behavioral Health Services, 18 Elm St, New Milford, CT 06776 | 2006-12-15 |
| 1881777597 | Candlewood New Milford LLC | Skilled Nursing Facility | 30 Park Lane East, New Milford, CT 06776 | 2006-10-24 |
| 1417030651 | Interface Center Inc | Counselor | 46 Danbury Rd, Suite 6, New Milford, CT 06776 | 2006-10-23 |
| Find all providers in zip 06776 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689925224 | Shalini Nelson | Nurse Practitioner | 427 Luhmann Dr, New Milford, NJ 07646-1517 | 2012-09-22 |
| 1033385075 | Susan Marie Begasse | Nurse Practitioner | 17382 State Route 11, New Milford, PA 18834-7776 | 2008-04-30 |
| 1063611267 | Peter Anderson | Nurse Practitioner | 1 Old Park Ln, Suite 2, New Milford, CT 06776-2562 | 2007-07-17 |
| 1518163864 | Jane Rush | Nurse Practitioner | 23 Poplar St, Nmh Behavioral Health Services, New Milford, CT 06776-2901 | 2007-06-25 |
| 1073682274 | Sharyle Elaine Steinseifer | Nurse Practitioner | 7 Hillcrest Dr, New Milford, CT 06776-3844 | 2006-11-06 |
| 1740377050 | Ginger Taylor | Nurse Practitioner | 1 Old Park Lane Rd, Suite 2, New Milford, CT 06776-2507 | 2006-10-06 |
| 1790703858 | Judith Trainer Rosenthal | Nurse Practitioner | 880 River Rd, Minuteclinic/cvs, New Milford, NJ 07646-3016 | 2006-07-17 |
| 1609300912 | Susan N Grammatico Dnp Fnp LLC | Nurse Practitioner | 146 Danbury Rd, New Milford, CT 06776-3427 | 2017-04-13 |
| 1467993485 | Lindsey Laughinghouse | Nurse Practitioner | 21 Elm St, New Milford, CT 06776-2915 | 2017-03-09 |
| 1972953719 | Edlyn Luella Arthur-nurse | Nurse Practitioner | 880 River Rd, New Milford, NJ 07646-3097 | 2016-06-13 |
| Find all providers in NEW MILFORD | ||||
| City | NEW MILFORD |
| Zip Code | 06776 |
Please comment or provide details below to improve the information on SOPHIA STEPHANIE RICKEVICIUS.
| 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.