Tatyana Okhotnikova, NP IN PSYCHIATRY

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F402028 Issued in NY

Practice address

9705 Horace Harding Expy
Apt 18G
Corona, NY 11368-4157

Phone

(917) 442-4290

NPI assigned

Oct 14, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tatyana Okhotnikova Professional name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205387131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9705 HORACE HARDING EXPY",
            "address_2": "APT 18G",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684157",
            "telephone_number": "917-442-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 HORACE HARDING EXPY",
            "address_2": "APT 18G",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684157",
            "telephone_number": "917-442-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKHOTNIKOVA",
        "first_name": "TATYANA",
        "credential": "NP IN PSYCHIATRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATYANA",
            "last_name": "OKHOTNIKOVA",
            "credential": "NP IN PSYCHIATRY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Corona, NY
• Providers in Corona, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.