Viktoriya Mummart

Primary specialty

Gastroenterology Registered NurseTaxonomy code 163WG0100X

License

RN671983 Issued in PA

Practice address

423 N 21St St
Suite 100
Camp Hill, PA 17011-2207

Phone

(717) 761-0930

NPI assigned

Sep 12, 2016

Last updated

Sep 12, 2016By the provider in NPPES

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

Other names 1

• Viktoriya Shetilova Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1538617246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 HIGH ST",
            "city": "HIGHSPIRE",
            "state": "PA",
            "postal_code": "170341407",
            "telephone_number": "717-979-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N 21ST ST",
            "address_2": "SUITE 100",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112207",
            "telephone_number": "717-761-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMMART",
        "first_name": "VIKTORIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "PA",
            "license": "RN671983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIKTORIYA",
            "last_name": "SHETILOVA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Moyer, D.O.
• Kathryn G Mueller, PA
• Alexa Marie Muffly, DPT
• Patrick Muller
• Multi Language Services
• Ingrid Munck
• Samantha Morgan Mundhenk
• Barbara Murphy
• Katelyn Murray, DMD
• Kathleen Anne Murren, RN

• Gastroenterology Registered Nurse in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Gastroenterology Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.