Active NPI
Diana Fedoriv
- Registered Nurse
- Stamford, CT
National Provider Identifier
1013872290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 174038
- Practice address
- 566 Newfield Ave Apt 13
Stamford, CT 06905-3300 - Phone
- (203) 524-8418
- NPI assigned
- Dec 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 174038 | CT | Primary |
Addresses
Primary practice location
566 Newfield Ave Apt 13
Stamford, CT 06905-3300
Mailing address
566 Newfield Ave Apt 13
Stamford, CT 06905-3300
Phone (203) 524-8418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174038 | CT | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1013872290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 NEWFIELD AVE APT 13",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069053300",
"telephone_number": "203-524-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 NEWFIELD AVE APT 13",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069053300",
"telephone_number": "203-524-8418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDORIV",
"first_name": "DIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-18",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "174038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.