Individual provider Active NPI

Sophia Andrea Walker-Cole, FNP

  • Family Nurse Practitioner
  • Elmont, NY
National Provider Identifier
1184944720
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
335680 Issued in NY
Practice address
1975 Linden Blvd Ste 202
Elmont, NY 11003-4004
Phone
(917) 664-2932
Fax
(516) 531-8781
NPI assigned
Jun 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 335680 NY
Family Nurse Practitioner 363LF0000X 335680 NY Primary

Addresses

Primary practice location

1975 Linden Blvd Ste 202
Elmont, NY 11003-4004

Mailing address

Sophia Walker-Cole
1975 Linden Blvd, Suite 202
New York, NY 11003
Phone (516) 725-6706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110217000122 NY Practitioner - Nurse Practitioner 3274714738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3590

Hospital & facility affiliations

  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
335680NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tender Heart NP in Family Health Wellness Nurse Practitioner Current Accepting new patients
North Shore-Lij Medical PC CurrentSince Feb 1, 2018 Accepting new patients

Locations

1975 Linden Blvd
Ste 202
Elmont, NY 11003
Phone (917) 664-2932

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1010 Northern Blvd
Ste 311
Great Neck, NY 11021
Phone (516) 788-8901

300 Community Dr
Ste 2
Manhasset, NY 11030
Phone (516) 562-3590

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

300 Community Dr
Plandome, NY 11030

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: sophiawalker-cole@nslijmedgr.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1184944720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOPHIA WALKER-COLE",
            "address_2": "1975 LINDEN BLVD, SUITE 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11003",
            "telephone_number": "516-725-6706",
            "fax_number": "516-531-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 LINDEN BLVD STE 202",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034004",
            "telephone_number": "917-664-2932",
            "fax_number": "516-531-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER-COLE",
        "first_name": "SOPHIA",
        "middle_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-06",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "335680",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

Verify at the official NPI Registry.