Active NPI
Erica Javes Eggebrecht
- Advanced Practice Midwife
- Bethesda, MD
National Provider Identifier
1346891884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP143179
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP143179 | TX | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pomelo PC | Advanced Practice Midwife | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.