Active NPI
Lauren Palank Sobotka, MSN, RN, CPNP-PC
- Primary Care Nurse Practitioner
- Hunt Valley, MD
National Provider Identifier
1346645926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- R224646
- Practice address
- 118 Shawan Rd Ste 220
Hunt Valley, MD 21030-1318 - Phone
- (410) 469-4950
- Fax
- (410) 601-6698
- NPI assigned
- Oct 25, 2014
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R224646 | MD | |
| Primary Care Nurse Practitioner | 363LP2300X | R224646 | MD | Primary |
Addresses
Primary practice location
118 Shawan Rd Ste 220
Hunt Valley, MD 21030-1318
Mailing address
3419 Edwards LN
Middle River, MD 21220-2912
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R224646 | Other | MD | MARYLAND BOARD OF NURSING |
| 20142571 | Other | PEDIATRIC NURSING CERTIFICATION BOARD | |
| 251205000 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R224646 | MD | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Lifebridge Community Physicians Inc | Current | Accepting new patients | |
| Shahab a Malik MD, LLC. | Past | Accepting new patients |
Locations
118 Shawan Rd
Ste 220
Hunt Valley, MD 21030
Phone (410) 469-4950
410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633
Organizations & group practices 4
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.
-
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- NPI 1174815807
-
- Cardiovascular Disease Physician
- Lutherville, MD
- NPI 1740086149
-
- Internal Medicine Physician
- Westminster, MD
- NPI 1386045441
-
- Pediatrics Physician
- Glen Burnie, MD
- NPI 1740329507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1346645926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3419 EDWARDS LN",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 SHAWAN RD STE 220",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "210301318",
"telephone_number": "410-469-4950",
"fax_number": "410-601-6698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBOTKA",
"first_name": "LAUREN",
"middle_name": "PALANK",
"name_prefix": "Mrs.",
"credential": "MSN, RN, CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-25",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R224646",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MD",
"license": "R224646",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND BOARD OF NURSING",
"identifier": "R224646",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEDIATRIC NURSING CERTIFICATION BOARD",
"identifier": "20142571",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251205000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hunt Valley, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.