Active NPI
Elina Khakimova
- Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1447834122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 2569 Ocean Ave Apt 3C
Brooklyn, NY 11229-4513 - Phone
- (347) 400-9669
- NPI assigned
- May 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2569 Ocean Ave Apt 3C
Brooklyn, NY 11229-4513
Mailing address
2569 Ocean Ave Apt 3C
Brooklyn, NY 11229-4513
Phone (347) 400-9669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86177279 | Other | CDR ID NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Brooklyn |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1447834122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2569 OCEAN AVE APT 3C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294513",
"telephone_number": "347-400-9669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2569 OCEAN AVE APT 3C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294513",
"telephone_number": "347-400-9669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAKIMOVA",
"first_name": "ELINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-10",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR ID NUMBER",
"identifier": "86177279",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Brooklyn",
"affiliation": "N",
"address_1": "2569 Ocean Ave Apt 3C",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112294513",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.