Active NPI
Iryna Nedvid
- Counselor
- Sacramento, CA
National Provider Identifier
1225450877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E2780909
- Practice address
- 4441 Auburn Blvd
Sacramento, CA 95841-4139 - Phone
- (916) 473-5764
- Fax
- (916) 473-5766
- NPI assigned
- Jan 16, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | E2780909 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA |
Addresses
Primary practice location
4441 Auburn Blvd
Sacramento, CA 95841-4139
Mailing address
5945 Kenneth Ave Apt 8
Carmichael, CA 95608-4849
Phone (916) 225-9467
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 |
|---|---|---|---|
| E2780909 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1225450877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5945 KENNETH AVE APT 8",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956084849",
"telephone_number": "916-225-9467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 AUBURN BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958414139",
"telephone_number": "916-473-5764",
"fax_number": "916-473-5766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEDVID",
"first_name": "IRYNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-16",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "E2780909",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.