Individual provider Active NPI

Yelena Rabiyeva

  • General Practice Registered Nurse
  • Flushing, NY
National Provider Identifier
1508430349
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
506510 Issued in NY
Practice address
14227 Franklin Ave
Flushing, NY 11355-2629
Phone
(718) 670-3400
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 506510 NY Primary

Addresses

Primary practice location

14227 Franklin Ave
Flushing, NY 11355-2629

Mailing address

6120 Grand Central Pkwy Apt A304
Forest Hills, NY 11375-1272
Phone (347) 665-7528

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

State licenses

LicenseStateTypeSpecialty
506510NYMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1508430349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 GRAND CENTRAL PKWY APT A304",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751272",
            "telephone_number": "347-665-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14227 FRANKLIN AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552629",
            "telephone_number": "718-670-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABIYEVA",
        "first_name": "YELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "506510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.