Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sophia Stephanie Rickevicius, FAMILYNURSEPRACTIT

Individual provider Family Nurse Practitioner · NPI 1912472093

Sophia Stephanie Rickevicius, FAMILYNURSEPRACTIT is a Nurse Practitioner in New Milford, Connecticut. Qualified in 2016, 10 years ago. Works from 2 locations. Licensed in Connecticut.

Years since qualifying
10
Licensed in
CT
In the registry since
2018
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Practice location Address checks out

30 Park Ln E
New Milford, CT 06776-2510
Phone: (860) 355-0971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19 Poplar St, New Milford, CT 06776-2901 — (860) 354-9365

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7866 (CT)

Record details

NPI number1912472093
Entity typeIndividual (Type 1)
GenderFemale
Credentials FAMILYNURSEPRACTIT
Sole proprietorNo
NPI enumeratedOctober 4, 2018
Last updated in NPPESOctober 4, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in New Milford