Nadezhda I Nadoyan

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN61344268 Issued in WA

Practice address

1200 Intrepid Ave
Philadelphia, PA 19112-1229

Phone

(800) 748-3243

NPI assigned

Nov 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nadezhda I Kozub Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1639888787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12012 SE 314TH PL",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980925103",
            "telephone_number": "206-453-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 INTREPID AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121229",
            "telephone_number": "800-748-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADOYAN",
        "first_name": "NADEZHDA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WA",
            "license": "RN61344268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADEZHDA",
            "last_name": "KOZUB",
            "middle_name": "I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vinay M Nadkarni, M.D.
• Ashlie Lauren Nadler, MD
• Evan Nadler, M.D.
• Steven M Nadler, DDS
• Gregory Jon Nadolski II, MD
• Vira Nadraga, MD
• Ambreen Naeem, M.D.
• Maliha Naeem, M.D.
• Elanah Dalyah Naftali, DRPH, LMFT
• Michiko Nagamine, MD

• General Practice Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.