Sophia C Livaditis, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN287680L Issued in PA

Practice address

130 Pine Grove CMNS
York, PA 17403-5151

Phone

(717) 851-5736

Fax

(717) 851-6162

NPI assigned

Feb 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, MD2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carroll Health Group LLCGroup PAC ID 3870627029, 68 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107
• Carroll Hospital Center Hospital, Westminster, MD, CCN 210033
• Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012

Merit-based Incentive Payment System (MIPS)

Final score

83.16 of 100Reported as group

Quality

75.05

Promoting interoperability

100

Improvement activities

40

Cost

68.82

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Carroll Health Group, LLC

  • Internal Medicine Physician
  • Westminster, MD
  • NPI 1437473550
  Medicare reassignment Care Compare group NPD
• Carroll Health Group, LLC

  • Surgery Physician
  • Westminster, MD
  • NPI 1194512319
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• Carroll Hospital Center, Inc.

  • General Acute Care Hospital
  • Westminster, MD
  • NPI 1912904210
  Care Compare affiliation
• Homecare Maryland, LLC

  • Home Health Agency
  • Owings Mills, MD
  • NPI 1144400805
  Care Compare affiliation
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1285672204
  Care Compare affiliation
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1487325874
  Care Compare affiliation

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1235696592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PINE GROVE CMNS",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035151",
            "telephone_number": "717-851-5736",
            "fax_number": "717-851-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVADITIS",
        "first_name": "SOPHIA",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN287680L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Anne Lischerelli
• Jonathan Liss, MD
• Brandy Jolene Little, CRNA
• Christina Gannaway Little, LPC
• Xinyun Liu
• Living Life
• Danielle Livingston, M.D.
• Bethann Lizzi, CRNP
• Alexis Nieva Llarena, P.T.
• Beatrice Llarena

• Nurse Practitioner in York, PA
• Providers in York, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.