Active NPI
Evelina Sodt, PHD
- Health Educator
- Warwick, NY
National Provider Identifier
1740828847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 65 Main St FL 1
Warwick, NY 10990-1346 - Phone
- (845) 244-0679
- NPI assigned
- Dec 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Poetry Therapist | 102X00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
65 Main St FL 1
Warwick, NY 10990-1346
Mailing address
3 Milton CT
Hewitt, NJ 07421-1248
Phone (845) 244-0679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32WC00564900 | Other | NJ | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Warwick | Direct |
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
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576713600000",
"number": "1740828847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MILTON CT",
"city": "HEWITT",
"state": "NJ",
"postal_code": "074211248",
"telephone_number": "845-244-0679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 MAIN ST FL 1",
"city": "WARWICK",
"state": "NY",
"postal_code": "109901346",
"telephone_number": "845-244-0679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SODT",
"first_name": "EVELINA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-19",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "102X00000X",
"taxonomy_group": "",
"desc": "Poetry Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "32WC00564900",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Warwick",
"affiliation": "N",
"endpointDescription": "Private practice",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Warwick",
"address_1": "65 Main St Fl 1",
"city": "Warwick",
"state": "NY",
"country_code": "US",
"postal_code": "109901346",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Warwick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.