Active NPI
Oksana Leontyuk
- Family Nurse Practitioner
- Vancouver, WA
National Provider Identifier
1033934930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61533056
- Practice address
- 13915 NE 78TH St
Vancouver, WA 98682-1306 - Phone
- (360) 823-7890
- NPI assigned
- Nov 18, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61533056 | WA | Primary |
Addresses
Primary practice location
13915 NE 78TH St
Vancouver, WA 98682-1306
Mailing address
13915 NE 78TH St
Vancouver, WA 98682-1306
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 |
|---|---|---|---|
| AP61533056 | WA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1033934930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13915 NE 78TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986821306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13915 NE 78TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986821306",
"telephone_number": "360-823-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONTYUK",
"first_name": "OKSANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-18",
"last_updated": "2024-11-18",
"certification_date": "2024-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61533056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.