Individual provider Active NPI

Victoria Zakharov, R.N.,L.AC

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1295085173
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
627977 Issued in NY
Practice address
147 Pembroke St
Brooklyn, NY 11235-2312
Phone
(718) 645-5517
NPI assigned
Sep 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 627977 NY Primary

Addresses

Primary practice location

147 Pembroke St
Brooklyn, NY 11235-2312

Mailing address

147 Pembroke St
Brooklyn, NY 11235-2312
Phone (718) 645-5517

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
627977NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1295085173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 PEMBROKE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352312",
            "telephone_number": "718-645-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 PEMBROKE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352312",
            "telephone_number": "718-645-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKHAROV",
        "first_name": "VICTORIA",
        "credential": "R.N.,L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "627977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.