Sofiya S Antonova, INTERPETR

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

604130098 Issued in WA

Practice address

15216 116TH PL NE
Kirkland, WA 98034-4607

Phone

(425) 273-0817

NPI assigned

Nov 4, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1093422396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15216 116TH PL NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344607",
            "telephone_number": "425-273-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15216 116TH PL NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344607",
            "telephone_number": "425-273-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONOVA",
        "first_name": "SOFIYA",
        "middle_name": "S",
        "credential": "INTERPETR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "604130098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS PROFESSIANAL INTERPRETER",
            "identifier": "MC55748",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Mazure-Schmidt DDS PLLC
• Maher M. Anous, M.D.
• Farshad Ansari, LAC
• Jamie R Antoine, MD
• Kevin Antoine
• Apex Durable Medical Solutions LLC
• Ana May Apin, LPN
• Apple Physical Therapy PS
• Warren R Appleton, M.D.
• Stephen N Aprill, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.