Individual provider Active NPI

Irina Bukshteyn, FNP-C

  • Family Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1376972539
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN202943 Issued in GA
Practice address
401 S Main St Ste B3
Alpharetta, GA 30009-1958
Phone
(404) 836-9906
Fax
(470) 545-4768
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN202943 GA Primary

Addresses

Primary practice location

401 S Main St Ste B3
Alpharetta, GA 30009-1958

Mailing address

3565 Bardfield CT
Cumming, GA 30041-7334
Phone (770) 309-9990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140917000236 GA Order and Referring Only - Nurse Practitioner 0143449504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Internal & Integrative Medicine, PA PastSince May 29, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: irina.bukshteyn.1@12358.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1376972539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 BARDFIELD CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417334",
            "telephone_number": "770-309-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST STE B3",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091958",
            "telephone_number": "404-836-9906",
            "fax_number": "470-545-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKSHTEYN",
        "first_name": "IRINA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN202943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.