Individual provider Active NPI

Tatyana B Korzhiletsky, RN

  • Registered Nurse
  • Lyndhurst, OH
National Provider Identifier
1225814692
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.348040 Issued in OH
Practice address
5001 Mayfield Rd Ste 105
Lyndhurst, OH 44124-2608
Phone
(216) 691-2484
Fax
(216) 691-2482
NPI assigned
Sep 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.348040 OH Primary

Addresses

Primary practice location

5001 Mayfield Rd Ste 105
Lyndhurst, OH 44124-2608

Mailing address

5001 Mayfield Rd Ste 105
Lyndhurst, OH 44124-2608
Phone (216) 691-2484

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.348040OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
M & Y Care, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1225814692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 MAYFIELD RD STE 105",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242608",
            "telephone_number": "216-691-2484",
            "fax_number": "216-691-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 MAYFIELD RD STE 105",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242608",
            "telephone_number": "216-691-2484",
            "fax_number": "216-691-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORZHILETSKY",
        "first_name": "TATYANA",
        "middle_name": "B",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.348040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.