Individual provider Active NPI

Zukhra Kuchiyeva

  • Nurse Practitioner
  • Englewood, OH
National Provider Identifier
1558088559
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0031419 Issued in OH
Practice address
9000 N Main St Ste 305
Englewood, OH 45415-1165
Phone
(937) 832-9322
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0031419 OH Primary

Addresses

Primary practice location

9000 N Main St Ste 305
Englewood, OH 45415-1165

Mailing address

9000 N Main St Ste 305
Englewood, OH 45415-1165
Phone (937) 832-9322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230721001886 OH Practitioner - Nurse Practitioner 2668832619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Family Care IncGroup PAC ID 5092608372, 58 clinicians

Practice addresses (Care Compare)

9000 N Main St
Suite 305
Englewood, OH 45415-1165
Phone (937) 832-9322

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0031419OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Family Care Inc CurrentSince Jun 7, 2023 Accepting new patients
Samaritan Family Care, Inc. Past Accepting new patients

Locations

1530 Needmore Rd
Ste 200
Dayton, OH 45414
Phone (937) 278-5854

9000 N Main St
Ste 305
Englewood, OH 45415
Phone (513) 832-1095

8638 Troy Pike
Ste 103
Huber Heights, OH 45424
Phone (937) 233-5574

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1558088559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST STE 305",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "454151165",
            "telephone_number": "937-832-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST STE 305",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "454151165",
            "telephone_number": "937-832-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHIYEVA",
        "first_name": "ZUKHRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0031419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

Verify at the official NPI Registry.