Individual provider Active NPI

Milena Petrova Staykova, EDD, APRN, FNP-BC

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1609386846
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024167031 Issued in VA
Practice address
101 Elm Ave SE
Roanoke, VA 24013-2222
Phone
(540) 985-8261
Fax
(540) 224-4785
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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 0024167031 VA Primary

Addresses

Primary practice location

101 Elm Ave SE
Roanoke, VA 24013-2222

Mailing address

6219 Stone Manor Dr
Roanoke, VA 24018-7909
Phone (540) 525-9310

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mstaykova17012@direct.carilionclinic.org Direct

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
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: milena.staykova.1@14940.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1609386846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6219 STONE MANOR DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240187909",
            "telephone_number": "540-525-9310",
            "fax_number": "540-224-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ELM AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132222",
            "telephone_number": "540-985-8261",
            "fax_number": "540-224-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAYKOVA",
        "first_name": "MILENA",
        "middle_name": "PETROVA",
        "name_prefix": "Dr.",
        "credential": "EDD, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstaykova17012@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "mstaykova17012@direct.carilionclinic.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 Elm Ave SE",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240132222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.