Ekaterina Kholyavka, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.019685 Issued in OH

Practice address

1120 E Broad St
Elyria, OH 44035-6306

Phone

(440) 365-2600

NPI assigned

Aug 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Mercy Health-Allen Hospital LLC

  • Rural Health Clinic/Center
  • Wellington, OH
  • NPI 1780818963
  NPD (past)
• Mobile Medical, Inc.

  • Podiatrist
  • Perrysburg, OH
  • NPI 1003066747
  NPD (past)

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1487109724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 COOPER FOSTER PARK RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011207",
            "telephone_number": "440-989-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356306",
            "telephone_number": "440-365-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOLYAVKA",
        "first_name": "EKATERINA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winifred Kennard, LPN
• Michael R. Kerschner, PSYD
• Maureen C Keshock, M.D.
• Sadaf Khan, MD
• Chirag Labhubhai Kher, MD
• Deloris Kibble
• Shana Kieswetter, RN
• Jerome Francis Kiffer
• Kimberly Nichelson DPM
• Delcenia Kimbrough, CARE COORDINATOR

• Family Nurse Practitioner in Elyria, OH
• Providers in Elyria, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.