Individual provider Active NPI

Tatyana Belimova, NP-C

  • Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1114493186
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP019428 Issued in PA
Practice address
4250 Crums Mill Rd Ste 102
Harrisburg, PA 17112-2889
Phone
(717) 652-1051
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP019428 PA Primary

Addresses

Primary practice location

4250 Crums Mill Rd Ste 102
Harrisburg, PA 17112-2889

Mailing address

4250 Crums Mill Rd Ste 102
Harrisburg, PA 17112-2889
Phone (717) 652-1051

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190116000023 PA Practitioner - Nurse Practitioner 6507102373 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Arthritis & Rheumatology Associates-PA PC CurrentSince Jan 17, 2020 Accepting new patients
Capital Arthritis and Rheumatology Associates, LLC CurrentSince Dec 4, 2018 Accepting new patients

Locations

2255 Glades Rd
Ste 228W
Boca Raton, FL 33431
Phone (561) 699-7101

766 W Lincoln Hwy
Exton, PA 19341
Phone (484) 206-4447

4250 Crums Mill Rd
Ste 102
Harrisburg, PA 17112
Phone (717) 652-1050

Interoperability endpoints

  • Direct secure messaging: tbelimova181633@direct-chsli.net

Organizations & group practices 2

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": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1114493186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 CRUMS MILL RD STE 102",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122889",
            "telephone_number": "717-652-1051",
            "fax_number": "717-652-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 CRUMS MILL RD STE 102",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122889",
            "telephone_number": "717-652-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELIMOVA",
        "first_name": "TATYANA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.