Individual provider Active NPI

Liudmila Samoukova, RN

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1316286362
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
657953-1 Issued in NY
Practice address
2261 Ocean Ave
Apt. 3B
Brooklyn, NY 11229-2368
Phone
(516) 670-7332
NPI assigned
Feb 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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 657953-1 NY Primary

Addresses

Primary practice location

2261 Ocean Ave
Apt. 3B
Brooklyn, NY 11229-2368

Mailing address

2261 Ocean Ave
Apt. 3B
Brooklyn, NY 11229-2368
Phone (516) 670-7332

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
657953-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1316286362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 OCEAN AVE",
            "address_2": "APT. 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292368",
            "telephone_number": "516-670-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 OCEAN AVE",
            "address_2": "APT. 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292368",
            "telephone_number": "516-670-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOUKOVA",
        "first_name": "LIUDMILA",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "657953-1",
            "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 Feb 12, 2013; 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.