Active NPI
Yulia Maggart, MSN, RN, APRN
- Pediatric Nurse Practitioner
- Ithaca, NY
National Provider Identifier
1285377598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- F383378
- Practice address
- 10 Graham Rd W
Ithaca, NY 14850-1055 - Phone
- (607) 257-2188
- NPI assigned
- Apr 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 11015718 | FL | |
| Pediatric Nurse Practitioner | 363LP0200X | F383378 | NY | Primary |
Addresses
Primary practice location
10 Graham Rd W
Ithaca, NY 14850-1055
Mailing address
314 Wood St Apt 1
Ithaca, NY 14850-5310
Phone (305) 770-8181
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
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11015718 | FL | MD | Pediatric Nurse Practitioner |
| F383378 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Physicians Group, PLLC | Multi-Specialty | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- yulia.maggart.1@29151.direct.athenahealth.com
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": "1649894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1285377598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 WOOD ST APT 1",
"city": "ITHACA",
"state": "NY",
"postal_code": "148505310",
"telephone_number": "305-770-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 GRAHAM RD W",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501055",
"telephone_number": "607-257-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGGART",
"first_name": "YULIA",
"name_prefix": "Mrs.",
"credential": "MSN, RN, APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-14",
"last_updated": "2022-04-14",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "11015718",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F383378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.