Tatyana Lytkina, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9101950 Issued in FL

Practice address

Corner of Route N12 and N7
Fortdefiance, AZ 86504

Phone

(928) 729-8132

NPI assigned

Jul 20, 2007

Last updated

Nov 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baycare Medical Group, Inc.

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1659720837
  NPD (past)

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1255531042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040589",
            "telephone_number": "727-515-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF ROUTE N12 AND N7",
            "city": "FORTDEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTKINA",
        "first_name": "TATYANA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Lowery, M.D.
• Kathryn Ann Lucas, CNM
• Kimberley Dawn Luce
• Crystal P Lui, PHARM.D.
• Juan Carlos Luna, MD
• Michael Alexander Mackinnon, CRNA
• David Jose Madrigal, RRT
• Anne Madsen, C.N.M.
• Hector Pilar Magana, PHYSICIAN & SURGEON
• Anthony Daep Magdadaro

• Medical Physician Assistant in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.