Individual provider Active NPI

Svetlana Bykovich, NP

  • Nurse Practitioner
  • Waterville, NY
National Provider Identifier
1306931993
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
334376 Issued in NY
Practice address
117 W Main St
Waterville, NY 13480-1165
Phone
(315) 841-4184
NPI assigned
Oct 3, 2006
Last updated
Jun 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 334376 NY Primary

Addresses

Primary practice location

117 W Main St
Waterville, NY 13480-1165

Mailing address

117 W Main St
PO Box 1012
Waterville, NY 13480-1165
Phone (315) 841-4184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050912000673 NY Practitioner - Nurse Practitioner 4183656994 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
334376NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Mar 1, 2005 Accepting new patients
Community Memorial Hospital CurrentSince Nov 1, 2013 Accepting new patients
MVHS Inc CurrentSince Mar 1, 2005 Accepting new patients
Community Memorial Hospital CurrentSince Nov 1, 2013 Accepting new patients
Atlantic Physician Services of Maryland, PC Past Accepting new patients
Atlantic Physician Services of Maryland, P.C. Nurse Practitioner Past Accepting new patients

Locations

150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

117 W Main St
Waterville, NY 13480
Phone (315) 841-4178

Interoperability endpoints

  • Direct secure messaging: svetlanab@hiemail.healtheconnections.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1306931993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W MAIN ST",
            "address_2": "PO BOX 1012",
            "city": "WATERVILLE",
            "state": "NY",
            "postal_code": "134801165",
            "telephone_number": "315-841-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W MAIN ST",
            "city": "WATERVILLE",
            "state": "NY",
            "postal_code": "134801165",
            "telephone_number": "315-841-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYKOVICH",
        "first_name": "SVETLANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "334376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, NY

Sources for this page

Verify at the official NPI Registry.