Individual provider Active NPI

Stepania Fedkiv

  • Certified Respiratory Therapist
  • Broadview Heights, OH
National Provider Identifier
1184991309
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
License
RCP 8955 Issued in OH
Practice address
2799 Harris Rd
Broadview Heights, OH 44147-2642
Phone
(440) 838-0811
NPI assigned
Nov 17, 2011
Last updated
Feb 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X NU
Certified Respiratory Therapist 227800000X RCP 8955 OH Primary

Addresses

Primary practice location

2799 Harris Rd
Broadview Heights, OH 44147-2642

Mailing address

2799 Harris Rd
Broadview Heights, OH 44147-2642
Phone (440) 838-0811

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

LicenseStateTypeSpecialty
RCP 8955OHMDCertified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1184991309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 HARRIS RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472642",
            "telephone_number": "440-838-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 HARRIS RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472642",
            "telephone_number": "440-838-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDKIV",
        "first_name": "STEPANIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "OH",
            "license": "RCP 8955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.