Individual provider Active NPI

Lyubov Desyatnik, HEARING AID FITTER

  • Hearing Instrument Specialist
  • Cranberry TWP, PA
National Provider Identifier
1194048900
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
F03092 Issued in PA
Practice address
1050 Cranberry Square Dr
Cranberry TWP, PA 16066-6142
Phone
(724) 778-6330
Fax
(724) 778-6317
NPI assigned
Mar 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X F03092 PA Primary

Addresses

Primary practice location

1050 Cranberry Square Dr
Cranberry TWP, PA 16066-6142

Mailing address

1050 Cranberry Square Dr
Cranberry TWP, PA 16066-6142

Other identifiers 1

IdentifierTypeStateIssuer
F03092OtherPAHEARING AID FITTER

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
F03092PAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1194048900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CRANBERRY SQUARE DR",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CRANBERRY SQUARE DR",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666142",
            "telephone_number": "724-778-6330",
            "fax_number": "724-778-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESYATNIK",
        "first_name": "LYUBOV",
        "credential": "HEARING AID FITTER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "PA",
            "license": "F03092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID FITTER",
            "identifier": "F03092",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.