Active NPI
Lyubov Desyatnik, HEARING AID FITTER
- Hearing Instrument Specialist
- Cranberry TWP, PA
National Provider Identifier
1194048900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- F03092
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F03092 | Other | PA | HEARING 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
| License | State | Type | Specialty |
|---|---|---|---|
| F03092 | PA | MD | Hearing 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.