Individual provider Active NPI

Valentina Ignatova

  • Licensed Practical Nurse
  • Palm Beach Gardens, FL
National Provider Identifier
1295440600
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5228440 Issued in FL
Practice address
11017 Legacy LN Apt 301
Palm Beach Gardens, FL 33410-3613
Phone
(913) 636-6468
NPI assigned
Jan 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN5228440 FL Primary

Addresses

Primary practice location

11017 Legacy LN Apt 301
Palm Beach Gardens, FL 33410-3613

Mailing address

11017 Legacy LN Apt 301
Palm Beach Gardens, FL 33410-3613
Phone (913) 636-6468

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
PN5228440FLMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1295440600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11017 LEGACY LN APT 301",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103613",
            "telephone_number": "913-636-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11017 LEGACY LN APT 301",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103613",
            "telephone_number": "913-636-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNATOVA",
        "first_name": "VALENTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5228440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.