Individual provider Active NPI

Sevara Tashkulov

  • Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1265324743
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN1001305-NP Issued in CO
Practice address
21595 E Layton LN
Aurora, CO 80015-6776
Phone
(720) 469-6498
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1663206 CO
Nurse Practitioner 363L00000X APN1001305-NP CO Primary

Addresses

Primary practice location

21595 E Layton LN
Aurora, CO 80015-6776

Mailing address

21595 E Layton LN
Aurora, CO 80015-6776
Phone (720) 469-6498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260206000930 CO Practitioner - Nurse Practitioner 4183103534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anna Larionova MD, PLLCGroup PAC ID 5092100891, 2 clinicians

Practice addresses (Care Compare)

10555 E Dartmouth Ave
210 Dartmouth
Aurora, CO 80014-2633
Phone (720) 500-4093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN1663206COMDRegistered Nurse
APN1001305-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Larionova MD, PLLC CurrentSince Dec 29, 2025 Accepting new patients

Locations

10555 E Dartmouth Ave
Ste 210
Aurora, CO 80014
Phone (303) 525-0717

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIIGCD/Endpoint/AIIGCD

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": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1265324743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21595 E LAYTON LN",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800156776",
            "telephone_number": "720-469-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21595 E LAYTON LN",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800156776",
            "telephone_number": "720-469-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASHKULOV",
        "first_name": "SEVARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN1663206",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN1001305-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.