Natallia Petrushenka

Primary specialty

DentistTaxonomy code 122300000X

License

DN1860022 Issued in MA

Practice address

444 Stockbridge Rd
Great Barrington, MA 01230-1295

Phone

(413) 528-9311

NPI assigned

Mar 9, 2023

Last updated

Nov 14, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Community Health Programs, Inc.

  dba CHP community Health Center

  • Federally Qualified Health Center (FQHC)
  • Great Barrington, MA
  • NPI 1013953009
  Medicare reassignment NPD
• Community Health Programs

  dba CHP Barrington Obgyn

  • Federally Qualified Health Center (FQHC)
  • Great Barrington, MA
  • NPI 1447488358
  NPD
• Community Health Programs, Inc.

  dba CHP Berkshire Pediatrics

  • Pediatrics Physician
  • Pittsfield, MA
  • NPI 1942720214
  NPD

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1285334979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HILLSIDE AVE APT 501",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123093559",
            "telephone_number": "929-428-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 STOCKBRIDGE RD",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301295",
            "telephone_number": "413-528-9311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 Albany St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021183550",
            "country_code": "US",
            "telephone_number": "617-358-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRUSHENKA",
        "first_name": "NATALLIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1860022",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zalak Patel
• Kenneth Patterson, M.D.
• PDC South
• Ellen Pearson
• Victor J Petrella, RNCS
• Deborah Ann Phillips, MS, LDN, CHES
• Lillian Kate Piemont, PHARMD
• Price Chopper Operating Co of Mass Inc (Price Chopper Pharmacy)
• Maureen Pryjma, LICSW
• Bridget Quinndicarlo, PTA

• Dentist in Great Barrington, MA
• Providers in Great Barrington, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.