Individual provider Active NPI

Yelena Maskayeva, M.S.O.M., L.AC.

  • Acupuncturist
  • Skokie, IL
National Provider Identifier
1265573802
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198-000197 Issued in IL
Practice address
8019 Lincoln Ave
Skokie, IL 60077-3611
Phone
(847) 568-0849
Fax
(847) 410-2123
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198-000197 IL Primary

Addresses

Primary practice location

8019 Lincoln Ave
Skokie, IL 60077-3611

Mailing address

8019 Lincoln Ave
Skokie, IL 60077-3611
Phone (847) 568-0849

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

LicenseStateTypeSpecialty
198-000197ILMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1265573802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 LINCOLN AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773611",
            "telephone_number": "847-568-0849",
            "fax_number": "847-410-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 LINCOLN AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773611",
            "telephone_number": "847-568-0849",
            "fax_number": "847-410-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASKAYEVA",
        "first_name": "YELENA",
        "name_prefix": "Mrs.",
        "credential": "M.S.O.M., L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198-000197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.