Active NPI
Vera A Shevchenko, ARNP, FNP-C
- Family Nurse Practitioner
- Spokane, WA
National Provider Identifier
1033980628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61509782
- Practice address
- 759 E Holland Ave Ste 101
Spokane, WA 99218-1257 - Phone
- (509) 270-0065
- NPI assigned
- Jan 11, 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 | AP61509782 | WA | Primary |
Addresses
Primary practice location
759 E Holland Ave Ste 101
Spokane, WA 99218-1257
Mailing address
4215 E Wahoo Rd
Colbert, WA 99005-9767
Phone (503) 867-0143
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61509782 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt. Spokane Pediatrics, PLLC | Family | Current | Accepting new patients |
Locations
759 E Holland Ave
#101
Spokane, WA 99218
759 E Holland Ave
#102
Spokane, WA 99218
Phone (509) 866-0200
1301 N Pines Rd
Ste 100
Spokane Valley, WA 99206
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1033980628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 E WAHOO RD",
"city": "COLBERT",
"state": "WA",
"postal_code": "990059767",
"telephone_number": "503-867-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 E HOLLAND AVE STE 101",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181257",
"telephone_number": "509-270-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEVCHENKO",
"first_name": "VERA",
"middle_name": "A",
"credential": "ARNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-11",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61509782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.