THERESA SOUTAR (NPI# 1790737963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790737963 |
| Entity Type | Individual |
| Full Name | THERESA SOUTAR |
| Credential | R.N. APN-C |
| Practice Address |
1405 Chews Landing Rd Laurel Springs NJ 08021-2769 |
| Mailing Address |
402 Lippincott Dr Marlton NJ 08053-4112 |
| Practice Telephone | 8562276575 |
| Practice Fax Number | 8563749495 |
| Mailing Telephone | 8567823300 |
| Mailing Fax Number | 8565048029 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2010-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26N009304400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6937306 | 05 |
| Street Address |
1405 CHEWS LANDING RD |
| City | LAUREL SPRINGS |
| State | NJ |
| Zip Code | 08021-2769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679552921 | Joseph J. Conti | Internal Medicine | 1405 Chews Landing Rd, Suite 14, Laurel Springs, NJ 08021-2769 | 2006-01-14 |
| 1942670278 | Allison Rosevelt | Marriage & Family Therapist | 1405 Chews Landing Rd, Suite 49, Laurel Springs, NJ 08021-2769 | 2015-09-29 |
| 1487994802 | James A Prate LLC | Exclusive Provider Organization | 1405 Chews Landing Rd, Laurel Springs, NJ 08021-2769 | 2013-02-21 |
| 1356534028 | Nirmala Selvam | Internal Medicine | 1405 Chews Landing Rd, Ste. 4, Laurel Springs, NJ 08021-2769 | 2007-08-24 |
| 1861616971 | Jack Franklin Krenzel | Dentist | 1405 Chews Landing Rd, Suite 10, Laurel Springs, NJ 08021-2769 | 2007-04-12 |
| 1548331903 | Gericare Assoc LLC | Internal Medicine | 1405 Chews Landing Rd, Ste 4, Laurel Springs, NJ 08021-2769 | 2006-11-10 |
| 1114968716 | James A Prate | Optometrist | 1405 Chews Landing Rd, Laurel Springs, NJ 08021-2769 | 2006-06-08 |
| 1821045428 | Sicklerville Internal Medicine | Internal Medicine | 1405 Chews Landing Rd, Ste. 14, Laurel Springs, NJ 08021-2769 | 2006-05-28 |
| 1558314641 | Que-chi Vuong Wong | Family Medicine | 1405 Chews Landing Rd, Suite 14, Laurel Springs, NJ 08021-2769 | 2006-05-18 |
| 1659323822 | Marisa Cinalli | Nurse Practitioner | 1405 Chews Landing Rd, Laurel Springs, NJ 08021-2769 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124663059 | Harmony Bay Wellness, LLC | Clinic/Center | 1387 Chews Landing Road, Laurel Springs, NJ 08021 | 2019-11-14 |
| 1134782576 | Mobile Dental Care of Delaware Pa | Dentist | 239 Cypress Ave, Lindenwold, NJ 08021 | 2019-04-22 |
| 1316441645 | Ability Advocates of New Jersey | Case Management | 1451 Chews Landing Rd, Suite 208, Clementon, NJ 08021 | 2018-03-21 |
| 1871007286 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43 Park Boulevard, Clementon, NJ 08021 | 2017-11-21 |
| 1639697444 | Oaks Integrated Care | Clinic/Center | 1611 Hinder La, Clemmenton, NJ 08021 | 2017-08-31 |
| 1548785462 | Poonam Yadav | Dentist | 3, Kelly Drivers Ln, Laurel Springs, NJ 08021 | 2017-08-11 |
| 1669996468 | Arc of Camden County - Heather Sa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1990 Laurel Road, Apt Ac-248, Lindenwold, NJ 08021 | 2017-08-02 |
| 1881118610 | Arc of Camden County- Millbridge Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 Millhurst Ct, Apt 258, Clementon, NJ 08021 | 2017-08-02 |
| 1710409982 | Leavy Healthcare Services, Inc. | Non-emergency Medical Transport (VAN) | 906 Mason Run, Pine Hill, NJ 08021 | 2017-07-10 |
| 1982134599 | Achieving A Better Life | Case Management | 1600 Laurel Road, E66, Lindenwold, NJ 08021 | 2017-06-15 |
| Find all providers in zip 08021 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104043678 | Medical Care Solutions, LLC | Nurse Practitioner | 16 Roosevelt Dr, Laurel Springs, NJ 08021-2731 | 2007-04-19 |
| 1477628816 | Catherine A Menewisch | Nurse Practitioner | 16 Roosevelt Drive, Laurel Springs, NJ 08021 | 2006-11-21 |
| 1437224888 | Barbara Vassallo | Nurse Practitioner | 16 Roosevelt Drive, Laurel Springs, NJ 08021 | 2006-11-21 |
| 1659323822 | Marisa Cinalli | Nurse Practitioner | 1405 Chews Landing Rd, Laurel Springs, NJ 08021-2769 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1609476761 | Remya Uthup | Nurse Practitioner | 240 Main St Apt 418, Hackensack, NJ 07601-5745 | 2020-10-28 |
| 1083213524 | Joann Michelle Munoz | Nurse Practitioner | 11 Highland Pl, Ridgefield Park, NJ 07660-1203 | 2020-10-24 |
| 1669071775 | Destiny Medical Practice LLC | Nurse Practitioner | 10 Amara Ln, Westampton, NJ 08060-5753 | 2020-10-20 |
| 1912505918 | Lamercie Brasier | Nurse Practitioner | 55 Valley Way, West Orange, NJ 07052-5829 | 2020-10-12 |
| 1568069912 | Christine B Adams | Nurse Practitioner | 75 Lane Rd, Fairfield, NJ 07004-1044 | 2020-10-07 |
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1861009342 | Maria Angela Flores | Nurse Practitioner | 482 William Way N, Wyckoff, NJ 07481-1722 | 2020-09-28 |
| 1437764545 | Alison O'neill | Nurse Practitioner | 720 Monroe St Ste E407, Hoboken, NJ 07030-6356 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | LAUREL SPRINGS |
| Zip Code | 08021 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.