Individual provider Active NPI

Katrina Gurvits, D.C.

  • Chiropractor
  • Brookline, MA
National Provider Identifier
1356437412
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2185 Issued in MA
Practice address
651 Washington St
Suite 110
Brookline, MA 02446-4517
Phone
(617) 232-0240
Fax
(617) 232-0213
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2185 MA Primary

Addresses

Primary practice location

651 Washington St
Suite 110
Brookline, MA 02446-4517

Mailing address

651 Washington St
Suite 110
Brookline, MA 02446-4517
Phone (617) 232-0240

Other identifiers 6

IdentifierTypeStateIssuer
350496OtherMAHARVARD PILGRIM
4541452-002OtherMACIGNA
Y36551OtherMABLUE CROSS BLUE SHIELD
44-00568OtherMAUNITED HEALTHCARE
2228316OtherMAAETNA US HEALTHCARE
002185OtherMATUFTS

Other names 1

  • Dr. Yekaterina Koretsky Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1356437412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 WASHINGTON ST",
            "address_2": "SUITE 110",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464517",
            "telephone_number": "617-232-0240",
            "fax_number": "617-232-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WASHINGTON ST",
            "address_2": "SUITE 110",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464517",
            "telephone_number": "617-232-0240",
            "fax_number": "617-232-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURVITS",
        "first_name": "KATRINA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "350496",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4541452-002",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y36551",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "44-00568",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2228316",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "002185",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YEKATERINA",
            "last_name": "KORETSKY",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.