ERIN SOBEK , NPI 1225552219 — WALDORF (MD)

NPI 1225552219

3+ Years Experience Individual

ERIN SOBEK

08.01.2017
PROVIDER ENUMERATION DATE
08.01.2017
LAST UPDATE DATE
1225552219
NPI NUMBER

About ERIN SOBEK

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

ERIN SOBEK is a provider established in WALDORF, MD. The NPI number of ERIN SOBEK is 1225552219 and was assigned on 08.01.2017. The practitioners primary taxonomy code is: 363LP0200X with license number: R229041 MD .

Mailing address

  • City: WALDORF
  • State: MD
  • Postal code: 206017279
  • Phone: 9892801395
  • Address: 2245 STREAM VISTA PL APT 306

Primary Practice Address

  • Region : WALDORF, MD
  • NPI : 1225552219
  • Phone : 3016456165
  • Postalcode : 206034806
  • Address : 11315 PEMBROOKE SQ STE 110

Provider taxonomy - Nurse Practitioner

  • Taxonomy code: 363LP0200X
  • License number: R229041
  • License state: MD

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

Click to Show Map
  • ERIN SOBEK
  • Address : 11315 PEMBROOKE SQ STE 110
  • Region : WALDORF, MD
  • NPI : 1225552219
  • Phone : 3016456165
  • Postalcode : 206034806

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address11315 PEMBROOKE SQ STE 110
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameWALDORF
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameMD
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code206034806
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3016456165
The telephone number associated with the location address of the provider being identified.
NPI1225552219
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1363LP0200X
Provider Enumeration Date08.01.2017
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated08.01.2017
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)ERIN SOBEK
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address2245 STREAM VISTA PL APT 306
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameWALDORF
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameMD
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code206017279
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number9892801395
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1363LP0200X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Nurse Practitioner
Provider License Number 1R229041
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1MD
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

Share this page?