Individual provider Active NPI

Olena Denysova, FNP

  • Family Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1588139984
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F343413 Issued in NY
Practice address
11129 Queens Blvd # 1
Forest Hills, NY 11375-5553
Phone
(164) 672-5958
NPI assigned
Oct 11, 2018
Last updated
Oct 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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 F343413 NY Primary

Addresses

Primary practice location

11129 Queens Blvd # 1
Forest Hills, NY 11375-5553

Mailing address

2665 Homecrest Ave Apt 4V
Brooklyn, NY 11235-4543
Phone (646) 725-9585

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
F343413NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1588139984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 HOMECREST AVE APT 4V",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354543",
            "telephone_number": "646-725-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11129 QUEENS BLVD # 1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755553",
            "telephone_number": "164-672-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENYSOVA",
        "first_name": "OLENA",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.