Yaroslava Yuryevna Sazonova, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1137571 Issued in TX

Practice address

4101 Greenbriar Dr
Houston, TX 77098-5294

Phone

(713) 797-0200

NPI assigned

Mar 26, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Yaroslava Yuryevna Tinh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1003666348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 REINICKE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770075191",
            "telephone_number": "713-396-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 GREENBRIAR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770985294",
            "telephone_number": "713-797-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAZONOVA",
        "first_name": "YAROSLAVA",
        "middle_name": "YURYEVNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1137571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAROSLAVA",
            "last_name": "TINH",
            "middle_name": "YURYEVNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fatima Sayed
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• Fatma Cemre Sazak Kundi
• Sbah Cardiology Associates, PLLC
• SBM Diagnostics, Inc.
• SBMC Healthcare, LLC
• SBMC Healthcare, LLC
• Ana M Scafidi, M.D.

• Acute Care Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.