Individual provider Active NPI

Armine Tadevosyan, FNP

  • Family Nurse Practitioner
  • Encino, CA
National Provider Identifier
1508488891
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014409 Issued in CA
Practice address
16101 Ventura Blvd Ste 300
Encino, CA 91436-2514
Phone
(818) 533-8393
NPI assigned
May 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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 95014409 CA Primary

Addresses

Primary practice location

16101 Ventura Blvd Ste 300
Encino, CA 91436-2514

Mailing address

16101 Ventura Blvd Ste 300
Encino, CA 91436-2514
Phone (818) 533-8393

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
I20201109001271 CA Practitioner - Nurse Practitioner 0345650198 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95014409CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NPMD Inc CurrentSince Sep 15, 2020 Accepting new patients
Sunlit Hospice, Inc. PastSince May 1, 2020 Accepting new patients

Locations

16101 Ventura Blvd
Ste 300
Encino, CA 91436
Phone (818) 501-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22480/brand/1/csg/1/fhir/r4
  • Direct secure messaging: armine.tadevosyan.1@22480.direct.athenahealth.com
  • Direct secure messaging: armine.tadevosyan.2@22480.direct.athenahealth.com

Organizations & group practices 2

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": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1508488891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16101 VENTURA BLVD STE 300",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362514",
            "telephone_number": "818-533-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 VENTURA BLVD STE 300",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362514",
            "telephone_number": "818-533-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADEVOSYAN",
        "first_name": "ARMINE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.