Individual provider Active NPI

Erica Javes Eggebrecht

  • Advanced Practice Midwife
  • Bethesda, MD
National Provider Identifier
1346891884
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP143179 Issued in TX
Practice address
4701 Sangamore Rd Ste N100
Bethesda, MD 20816-2558
Phone
(817) 692-8538
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP143179 TX Primary

Addresses

Primary practice location

4701 Sangamore Rd Ste N100
Bethesda, MD 20816-2558

Mailing address

4701 Sangamore Rd Ste N100
Bethesda, MD 20816-2558
Phone (817) 692-8538

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200228001559 TX Practitioner - Certified Nurse Midwife (CNM) 8224465448 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP143179TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Pomelo PC Advanced Practice Midwife CurrentSince Mar 24, 2025 Accepting new patients
Pomelo PC Current Accepting new patients

Locations

404 6th St
Alexandria, LA 71301
Phone (318) 442-2121

4701 Sangamore Rd
Ste N100
Bethesda, MD 20816
Phone (240) 484-4226

1400 Broadfield Blvd
Ste 200
Houston, TX 77084

Interoperability endpoints

  • Direct secure messaging: erica.eggebrecht.1@25307.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1346891884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SANGAMORE RD STE N100",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162558",
            "telephone_number": "817-692-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SANGAMORE RD STE N100",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162558",
            "telephone_number": "817-692-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGEBRECHT",
        "first_name": "ERICA",
        "middle_name": "JAVES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP143179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.