Individual provider Active NPI

Tetyana G Shtyryova, RN

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1619242336
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
647127 Issued in NY
Practice address
3133 Brighton 7TH St
Apt 5I
Brooklyn, NY 11235-6565
Phone
(718) 648-4350
NPI assigned
Mar 13, 2012
Last updated
Mar 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 647127 NY Primary

Addresses

Primary practice location

3133 Brighton 7TH St
Apt 5I
Brooklyn, NY 11235-6565

Mailing address

3133 Brighton 7TH St
Apt 5I
Brooklyn, NY 11235-6565
Phone (718) 648-4350

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
647127NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1619242336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 BRIGHTON 7TH ST",
            "address_2": "APT 5I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356565",
            "telephone_number": "718-648-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 BRIGHTON 7TH ST",
            "address_2": "APT 5I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356565",
            "telephone_number": "718-648-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHTYRYOVA",
        "first_name": "TETYANA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "647127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.