Individual provider Active NPI

Slava Kreynovich, NP-C

  • Family Nurse Practitioner
  • Towson, MD
National Provider Identifier
1265763155
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R164215 Issued in MD
Practice address
1001 York Rd
Towson, MD 21204-2516
Phone
(410) 823-3900
NPI assigned
Jan 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R164215 MD Primary

Addresses

Primary practice location

1001 York Rd
Towson, MD 21204-2516

Mailing address

1001 York Rd
Towson, MD 21204-2516
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100429000998 MD Practitioner - Nurse Practitioner 0143357988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2005 Jolly Rd
Baltimore, MD 21209-1013
Phone (410) 941-9040

Hospital & facility affiliations

  • PHR of Baltimore, Inc. Home health agency, Baltimore, MD, CCN 217036
  • Homecentris Home Health II Home health agency, Owings Mills, MD, CCN 217058
  • Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107
  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Gilchrist Hospice Care, Inc Hospice, Hunt Valley, MD, CCN 211526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care at Home, LLC CurrentSince Jul 20, 2017 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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1263686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1265763155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 YORK RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042516",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 YORK RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042516",
            "telephone_number": "410-823-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREYNOVICH",
        "first_name": "SLAVA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-17",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R164215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.