Individual provider Active NPI

Tatyana Kryachkov, CRNP

  • Nurse Practitioner
  • Greer, SC
National Provider Identifier
1003390444
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
30033 Issued in SC
Practice address
300 John St Ste 4B
Greer, SC 29651-1463
Phone
(864) 334-7727
NPI assigned
Sep 21, 2018
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 30033 SC Primary
Family Nurse Practitioner 363LF0000X SP019246 PA
Primary Care Nurse Practitioner 363LP2300X SP019246 PA

Addresses

Primary practice location

300 John St Ste 4B
Greer, SC 29651-1463

Mailing address

300 John St Ste 4B
Greer, SC 29651-1463
Phone (864) 334-7727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20190402000013 PA Practitioner - Nurse Practitioner 9335480300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Focused CareGroup PAC ID 8921354531, 7 clinicians

Practice addresses (Care Compare)

3250 W Lake Rd
Suite 2
Erie, PA 16505-3691
Phone (814) 790-4567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP019246PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Focused Care. CurrentSince May 18, 2020 Accepting new patients
Medasic CurrentSince Jul 28, 2026 Accepting new patients

Locations

3250 W Lake Rd
Ste 2
Erie, PA 16505
Phone (814) 790-4567

3215 Martin Luther King Jr Blvd
Ste O
Anderson, SC 29625
Phone (864) 540-8184

300 John St
Ste 4B
Greer, SC 29651
Phone (864) 334-7727

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1003390444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JOHN ST STE 4B",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511463",
            "telephone_number": "864-334-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JOHN ST STE 4B",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511463",
            "telephone_number": "864-334-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYACHKOV",
        "first_name": "TATYANA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "30033",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019246",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP019246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.