Tatiana Tvrdik, PHD

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

20027SP Issued in GA

Practice address

1364 Clifton Rd NE
Atlanta, GA 30322-1013

Phone

(404) 712-4810

Fax

(404) 712-4349

NPI assigned

Aug 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tatiana Bastlova Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: ttvrdik68718@direct.emory.org

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1346851417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 S 2750 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092017",
            "telephone_number": "801-739-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-712-4810",
            "fax_number": "404-712-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TVRDIK",
        "first_name": "TATIANA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "GA",
            "license": "20027SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATIANA",
            "last_name": "BASTLOVA",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hope Tuttle
• Jacob Theodore Tuttle, CRNA
• Jessica Tuttle, M.D.
• Richard Tutu, PA
• Valarie Tutuh
• TW Consulting Co
• Sarah Tweddell, M.D.
• Brandon Tweedy, ICADC
• Evelyn Rebecca Ford Twentyman, MD
• Kenneth M Twiddy, MD

• Clinical Laboratory Director (Non-physician) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Laboratory Director (Non-physician) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.