Active NPI
Sophia Abbott, RN
- Specialist
- Charlottesville, VA
National Provider Identifier
1295130540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1236000890
- Practice address
- 618 Forest St Ste B
Charlottesville, VA 22903-5267 - Phone
- (434) 566-9407
- NPI assigned
- Oct 29, 2014
- Last updated
- Aug 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | RN2288764 | MA | |
| Specialist | 174400000X | 1236000890 | VA | Primary |
Addresses
Primary practice location
618 Forest St Ste B
Charlottesville, VA 22903-5267
Mailing address
234 Glenleigh Rd
Charlottesville, VA 22911-3518
Phone (434) 566-9407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2288764 | MA | MD | Ambulatory Care Registered Nurse |
| 1236000890 | VA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1295130540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 GLENLEIGH RD",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229113518",
"telephone_number": "434-566-9407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 FOREST ST STE B",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229035267",
"telephone_number": "434-566-9407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "SOPHIA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-29",
"last_updated": "2024-08-21",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "MA",
"license": "RN2288764",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "1236000890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.