Individual provider Active NPI

Svetlana Chentsova, NP

  • Family Nurse Practitioner
  • Cohasset, MA
National Provider Identifier
1336668011
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2258522 Issued in MA
Practice address
760 Chief Justice Cushing Hwy Ste 2C
Cohasset, MA 02025-2124
Phone
(781) 239-4434
Fax
(781) 239-4489
NPI assigned
Sep 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2258522 MA Primary
Nurse Practitioner 363L00000X RN2258522 MA

Addresses

Primary practice location

760 Chief Justice Cushing Hwy Ste 2C
Cohasset, MA 02025-2124

Mailing address

760 Chief Justice Cushing Hwy Ste 2C
Cohasset, MA 02025-2124
Phone (781) 239-4434

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2258522MAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1336668011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 CHIEF JUSTICE CUSHING HWY STE 2C",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020252124",
            "telephone_number": "781-239-4434",
            "fax_number": "781-239-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 CHIEF JUSTICE CUSHING HWY STE 2C",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020252124",
            "telephone_number": "781-239-4434",
            "fax_number": "781-239-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENTSOVA",
        "first_name": "SVETLANA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2258522",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2258522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohasset, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.