Tatyana P Fedarinenko, CFNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

SP024460 Issued in PA

Practice address

1501 Mount Rose Ave
York, PA 17403-2989

Phone

(717) 741-5959

NPI assigned

May 10, 2021

Last updated

Nov 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tatyana.fedarinenko.1@22854.direct.athenahealth.com

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.

• Monogram Health Professional Services PC

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  • Brentwood, TN
  • NPI 1134739089

  Family Medicine, PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636243200000",
    "number": "1063096691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 GREENWOOD CIR",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MOUNT ROSE AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032989",
            "telephone_number": "717-741-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDARINENKO",
        "first_name": "TATYANA",
        "middle_name": "P",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A163323",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP024460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kriss Harrison Pulgo Fat, CRNA
• Charito Faulkner
• Katelynn Marie Fauth
• Robert S Fawcett, MD
• Ardis A Featherman, M.S.
• Victoria Feder, OTR
• Matthew David Feeser, H.I.S.
• Lindsey Fegely
• Donna Fehrenbach, DO
• Nina Esther Feinberg, MD

• Family Medicine Physician in York, PA
• Providers in York, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.