Stanislav Kravchuk

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Practice address

6290 E Lemhi CT
Nampa, ID 83687-9177

Phone

(208) 509-9400

NPI assigned

Feb 17, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1326746470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6290 E LEMHI CT",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879177",
            "telephone_number": "208-509-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 E LEMHI CT",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879177",
            "telephone_number": "208-509-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVCHUK",
        "first_name": "STANISLAV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy O Kotte
• Breonna V Krafft-Harris, LPC
• Catherine D Kraus, LCSW
• Evgenia Kravchuk
• Nadezhda Kravchuk, NP-C
• Phillip Wade Kreissler, DPT
• Joseph D Kronz, M.D.
• Kari Krueger
• Dianne Kay Kruse, LCPC MA, EED, EDS
• Mackenna Kuehl

• Nursing Care Agency in Nampa, ID
• Providers in Nampa, ID by specialty
• Nursing Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.