Theresa Soutar, R.N. APN-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26N009304400 Issued in NJ

Practice address

1405 Chews Landing Rd
Laurel Springs, NJ 08021-2769

Phone

(856) 227-6575

Fax

(856) 374-9495

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-County Health Connections, PCGroup PAC ID 8022271410, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

16.96 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

56.53

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tri-County Health Connections PC

  • Multi-Specialty Clinic/Center
  • Glassboro, NJ
  • NPI 1124660501
  Medicare reassignment Care Compare group NPD
• Gericare Assoc LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Laurel Springs, NJ
  • NPI 1548331903
  NPD (past)
• Gericare Associates

  • Geriatric Medicine (Internal Medicine) Physician
  • Cherry Hill, NJ
  • NPI 1669640470
  NPD (past)
• James a Prate LLC

  • Exclusive Provider Organization
  • Laurel Springs, NJ
  • NPI 1487994802
  NPD (past)
• Partners in Primary Care Inc

  • Internal Medicine Physician
  • Berlin, NJ
  • NPI 1134188857
  NPD (past)
• Tri-County Health Connections PC

  • Neurology Physician
  • Woodbury, NJ
  • NPI 1417220310
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1790737963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CHEWS LANDING RD",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212769",
            "telephone_number": "856-227-6575",
            "fax_number": "856-374-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTAR",
        "first_name": "THERESA",
        "credential": "R.N.  APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26N009304400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6937306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Soda, LPC
• Meredith Rose Sodie, LMFT
• Solus Pharmacy LLC
• Solus Pharmacy LLC
• Sos Transportation LLC
• Sports Medicine Solutions
• Shanthi Subbiah, MD
• John Andrew Szczepanski, O.D.
• Alyssa P Taylor, FNP-BC
• Carson Thomas, LAC

• Adult Health Nurse Practitioner in Laurel Springs, NJ
• Providers in Laurel Springs, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.