ERICA F SOUTHWORTH NP NPI 1730368960

NPI Information

NPI: 1730368960
Provider Name: ERICA F SOUTHWORTH, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
505 PARNASSUS AVE
SAN FRANCISCO, CA
ZIP 94143
Phone: (415) 476-1000
Get Directions

Erica F Southworth, NP is a pediatrics nurse practitioner in San Francisco, CA with 20 years of experience. Erica F Southworth, NP NPI is 1730368960. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

505 PARNASSUS AVE
SAN FRANCISCO, CA
ZIP 94143-204
Phone: (415) 476-1000

The NPI 1730368960 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2007 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		647986	CALIFORNIA	No
2	363L00000X	Nurse Practitioner		4704287358	MICHIGAN	No
3	363LP0200X	Nurse Practitioner	Pediatrics	15497	CALIFORNIA	Yes
4	363LP0200X	Nurse Practitioner	Pediatrics	4704287358	MICHIGAN	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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