Sofia Simoulidis Christakos, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12016 Issued in CT

Practice address

80 Brooklawn Dr
Milford, CT 06460-2804

Phone

(203) 247-6162

NPI assigned

Jan 11, 2023

Last updated

Aug 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Pain and Headache Treatment Centers LLCGroup PAC ID 2860465796, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Pain and Headache Treatment Centers, LLC

  • Interventional Pain Medicine Physician
  • Derby, CT
  • NPI 1467672592

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1841904174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BROOKLAWN DR",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602804",
            "telephone_number": "203-247-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BROOKLAWN DR",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602804",
            "telephone_number": "203-247-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTAKOS",
        "first_name": "SOFIA",
        "middle_name": "SIMOULIDIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "12016",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12016",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "122728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Cerino Nutrition, LLC
• Kara Cholewinski, ND
• Chosen Home Care LLC
• Chosen Home Care LLC
• Chosen Home Care LLC
• Ho Ryun Chung, D.D.S
• Frank D. Cileno Jr., DPT
• Monica Ciocca, MS CCC-SLP
• Nicholas Cipriani, DPT
• City of Milford (City of Milford d/b/a Milford Fire EMS)

• Family Nurse Practitioner in Milford, CT
• Providers in Milford, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.