Individual provider Active NPI

Viktoria Zalesov

  • Homemaker
  • St Petersburg, FL
National Provider Identifier
1639507593
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
233118 Issued in FL
Practice address
9815 52ND Ave N
Saint Petersburg, FL 33708-3715
Phone
(727) 202-5018
Fax
(727) 202-5018
NPI assigned
Oct 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X 233118 FL
Adult Companion 372600000X 233118 FL
Homemaker 376J00000X 233118 FL Primary

Addresses

Primary practice location

9815 52ND Ave N
Saint Petersburg, FL 33708-3715

Mailing address

9815 52ND Ave N
Saint Petersburg, FL 33708-3715
Phone (727) 202-5018

Other identifiers 1

IdentifierTypeStateIssuer
009607900MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
233118FLMDAdult Companion

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1639507593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9815 52ND AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337083715",
            "telephone_number": "727-202-5018",
            "fax_number": "727-202-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 52ND AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337083715",
            "telephone_number": "727-202-5018",
            "fax_number": "727-202-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALESOV",
        "first_name": "VIKTORIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "FL",
            "license": "233118",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "233118",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "233118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009607900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.