Valentina Kulakivsky, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00038912 Issued in WA

Practice address

31217 124TH Ave SE
Ste 5
Auburn, WA 98092-3618

Phone

(253) 737-5333

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Quality Care Physicians Group

  • Emergency Medicine Physician
  • Waterford, MI
  • NPI 1114974912
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1548321052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31217 124TH AVE SE",
            "address_2": "STE 5",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980923618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31217 124TH AVE SE",
            "address_2": "STE 5",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980923618",
            "telephone_number": "253-737-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULAKIVSKY",
        "first_name": "VALENTINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00038912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1112572",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Kritovich, LMHC
• Kronlund Chiropractic Clinic, Inc., P.S.
• Terry Martin Kronlund, DC
• Noelle Gerard Krueger, RN
• Alyssa Marie Kubinski, M.S., SLP-CF
• Reshma Devi Kumar
• Jordan Kumasaka, PTA
• Tajana Kundacina, DO
• Alex Kendall Kunz, LMT
• Veronica Wangari Kuruga

• Family Medicine Physician in Auburn, WA
• Providers in Auburn, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.