Active NPI
Inna Gankina
- Health Educator
- Brooklyn, NY
National Provider Identifier
1124381843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 2406585
- Practice address
- 2645 Homecrest Ave Apt 1D
Brooklyn, NY 11235-4531 - Phone
- (917) 470-4739
- NPI assigned
- Jun 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 2406585 | NY | Primary |
Addresses
Primary practice location
2645 Homecrest Ave Apt 1D
Brooklyn, NY 11235-4531
Mailing address
2645 Homecrest Ave Apt 1D
Brooklyn, NY 11235-4531
Phone (917) 470-4739
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2406585 | Other | NY | TEACHER'S LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2406585 | NY | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339977600000",
"number": "1124381843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 HOMECREST AVE APT 1D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112354531",
"telephone_number": "917-470-4739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 HOMECREST AVE APT 1D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112354531",
"telephone_number": "917-470-4739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANKINA",
"first_name": "INNA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-18",
"last_updated": "2012-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NY",
"license": "2406585",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEACHER'S LICENSE",
"identifier": "2406585",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.