Individual provider Active NPI

Liliya Kyrychenko, NP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1124766282
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN176429 Issued in GA
Practice address
3715 Northside Pkwy NW Ste 2-100
Atlanta, GA 30327-2809
Phone
(770) 938-1757
NPI assigned
May 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN176429 GA Primary

Addresses

Primary practice location

3715 Northside Pkwy NW Ste 2-100
Atlanta, GA 30327-2809

Mailing address

3715 Northside Pkwy NW Ste 2-100
Atlanta, GA 30327-2809

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yfrinks@gltcmedical.com

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Medical Consulting, P.C. CurrentSince Aug 1, 2022 Accepting new patients

Locations

3715 Northside Pkwy NW
Ste 2100
Atlanta, GA 30327
Phone (770) 938-1757

Organizations & group practices 1

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": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1124766282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 NORTHSIDE PKWY NW STE 2-100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 NORTHSIDE PKWY NW STE 2-100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272809",
            "telephone_number": "770-938-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRYCHENKO",
        "first_name": "LILIYA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN176429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yfrinks@gltcmedical.com",
            "affiliation": "N",
            "address_1": "3715 Northside Pkwy NW Ste 2-100",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303272809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.