Dovile Nazarevych

Primary specialty

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

Practice address

2205 W Medicine Lake Dr
Plymouth, MN 55441-4142

Phone

(612) 707-1660

NPI assigned

Jan 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1366194227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 W MEDICINE LAKE DR",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554414142",
            "telephone_number": "612-707-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 W MEDICINE LAKE DR",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554414142",
            "telephone_number": "612-707-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZAREVYCH",
        "first_name": "DOVILE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS, CLIA NUMBER",
            "identifier": "24D2245122",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://easytestmn.com",
            "affiliation": "Y",
            "endpointDescription": "site",
            "affiliationName": "Easy Test LLC",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "information",
            "address_1": "2205 W Medicine Lake Dr",
            "city": "Plymouth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554414142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Ann Naas
• Nicholle Co Nacionales, PA-C
• Alexandria Nash
• Marissa Lauren Natzel
• Navigating Changes LLC
• Gladys Ayiera Ndege, CNP
• Madeline Felice Nehotte
• Paige Renee Nelson-Ansley, PSYD, LP
• Andrea Nelson
• Annelise Nelson, D.D.S

• Clinical Laboratory Director (Non-physician) in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Clinical Laboratory Director (Non-physician) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.