Individual provider Active NPI

Yulia A Lyuboslavsky, APN, ACNS-BC

  • Adult Health Clinical Nurse Specialist
  • Austin, TX
National Provider Identifier
1215254024
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
728708 Issued in TX
Practice address
4310 James Casey St
Austin, TX 78745-1251
Phone
(512) 448-4588
NPI assigned
May 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 728708 TX Primary

Addresses

Primary practice location

4310 James Casey St
Austin, TX 78745-1251

Mailing address

4310 James Casey St
Austin, TX 78745-1251
Phone (512) 448-4588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20130815000606 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 4486896735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Gastroenterology PLLCGroup PAC ID 9739174954, 75 clinicians

Practice addresses (Care Compare)

7200 Wyoming Springs Dr
Suite 1300
Round Rock, TX 78681-4306
Phone (512) 244-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
57.89
Promoting interoperability
96
Improvement activities
40
Cost
78.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Gastroenterology PA CurrentSince Mar 16, 2013 Accepting new patients
Austin Gastroenterology, PLLC CurrentSince Mar 16, 2013 Accepting new patients

Locations

7951 Shoal Creek Blvd
Ste 200
Austin, TX 78757
Phone (512) 454-4588

4310 James Casey St
Ste 4B
Austin, TX 78745
Phone (512) 407-8444

7200 Wyoming Springs Dr
Ste 1300
Round Rock, TX 78681

Interoperability endpoints

  • FHIR API: https://f1c3b871-8724-4a21-b291-f8f62dcb574b.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1215254024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 JAMES CASEY ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451251",
            "telephone_number": "512-448-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 JAMES CASEY ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451251",
            "telephone_number": "512-448-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYUBOSLAVSKY",
        "first_name": "YULIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APN, ACNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "728708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.