Individual provider Active NPI

Liliya Krivoruchko, FNP

  • Family Nurse Practitioner
  • Carmichael, CA
National Provider Identifier
1386437002
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95035170 Issued in CA
Practice address
6500 Coyle Ave Ste 4
Carmichael, CA 95608-0301
Phone
(916) 838-6322
NPI assigned
May 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2025

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 95035170 CA Primary

Addresses

Primary practice location

6500 Coyle Ave Ste 4
Carmichael, CA 95608-0301

Mailing address

4237 Clover Knoll CT
Carmichael, CA 95608-6734
Phone (916) 838-6322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251027000413 CA Order and Referring Only - Nurse Practitioner 4082103502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95035170CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1386437002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 CLOVER KNOLL CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086734",
            "telephone_number": "916-838-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 COYLE AVE STE 4",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080301",
            "telephone_number": "916-838-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIVORUCHKO",
        "first_name": "LILIYA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95035170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.