Ekaterina Dokukina

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95004245 Issued in CA

Practice address

18607 Ventura Blvd Ste 204
Tarzana, CA 91356-4173

Phone

(818) 578-4355

NPI assigned

Apr 18, 2017

Last updated

Mar 31, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coast to Coast Foot DoctorsGroup PAC ID 3072971100, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edokukina557144@oc.providencedirect.org

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.

• Coast to Coast Foot Doctors

  • Podiatrist
  • Tarzana, CA
  • NPI 1558064246
  Medicare reassignment Care Compare group NPD
• Minuteclinic Diagnostic Medical Group of California Inc

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1033309372
  Medicare reassignment NPD

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1073047874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD STE 204",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564173",
            "telephone_number": "323-854-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD STE 204",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564173",
            "telephone_number": "818-578-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOKUKINA",
        "first_name": "EKATERINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edokukina557144@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "10174 Mason Ave",
            "city": "Chatsworth",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913113301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela DO
• Waleed Doany, M.D.
• Skylar Dock
• Patricia Denise Dockery
• Casey T Doherty
• Jean Ann Dolaway, MS PT
• Judith Dominguez
• Breahn Faye-Merie Donaldson, MD
• Taylor Brooke Donato, COTA/L
• Victoria Dontsova, D.D.S.

• Family Nurse Practitioner in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.