Active NPI
Lyubov Gekkelman
- School Registered Nurse
- Mount Vernon, WA
National Provider Identifier
1215463757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN60911121
- Practice address
- 2520 Briarwood Cir
Mount Vernon, WA 98273-8614 - Phone
- (360) 941-7733
- NPI assigned
- May 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN60911121 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| School Registered Nurse | 163WS0200X | RN60911121 | WA | Primary |
Addresses
Primary practice location
2520 Briarwood Cir
Mount Vernon, WA 98273-8614
Mailing address
2520 Briarwood Cir
Mount Vernon, WA 98273-8614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1208625301 | Medicaid | WA |
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 |
|---|---|---|---|
| RN60911121 | WA | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1215463757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 BRIARWOOD CIR",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982738614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 BRIARWOOD CIR",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982738614",
"telephone_number": "360-941-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEKKELMAN",
"first_name": "LYUBOV",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-03",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "WA",
"license": "RN60911121",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WA",
"license": "RN60911121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1208625301",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.