Ilya Gladkov

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

NC60543014 Issued in WA

Practice address

1724 SE 30TH PL
Renton, WA 98055-5201

Phone

(425) 757-7425

Fax

(425) 572-5169

NPI assigned

Sep 16, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1295646297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 SE 30TH PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555201",
            "telephone_number": "425-757-7425",
            "fax_number": "425-572-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 SE 30TH PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555201",
            "telephone_number": "425-757-7425",
            "fax_number": "425-572-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADKOV",
        "first_name": "ILYA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WA",
            "license": "NC60543014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamilton S Gillespie, MD
• Emma Jeanne Giordano
• Emad Nabil Girgis, MD
• Anne Marie Gitchel, ANP
• Meghin Marie Gjerswold
• Gladness & Ilya Adult Family Home LLC
• Pamela Kim Gladney
• Melinda J Glass, OT
• Todd R Glass, D.C.
• Cristina Glavnenco

• Nurse's Aide in Renton, WA
• Providers in Renton, WA by specialty
• Nurse's Aide in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.