Individual provider Active NPI

Nataliya S Shtykova, RN

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1538496005
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
652090 Issued in NY
Practice address
1815 E 17TH St Apt 2C
Brooklyn, NY 11229-2958
Phone
(937) 231-9767
NPI assigned
Nov 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 295267-1 NY
Registered Nurse 163W00000X 652090 NY Primary

Addresses

Primary practice location

1815 E 17TH St Apt 2C
Brooklyn, NY 11229-2958

Mailing address

1815 E 17TH St Apt 2C
Brooklyn, NY 11229-2958
Phone (937) 231-9767

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
652090NYMDRegistered Nurse
295267-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1538496005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E 17TH ST APT 2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292958",
            "telephone_number": "937-231-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E 17TH ST APT 2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292958",
            "telephone_number": "937-231-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHTYKOVA",
        "first_name": "NATALIYA",
        "middle_name": "S",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "295267-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "652090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 14, 2012; 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.