Individual provider Active NPI

Svetlana Polyakova, NP

  • Family Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1649740093
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0993978-NP Issued in CO
Practice address
8316 W Eastman PL
Lakewood, CO 80227-6240
Phone
(917) 971-6956
NPI assigned
Nov 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 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 APN.0993978-NP CO Primary

Addresses

Primary practice location

8316 W Eastman PL
Lakewood, CO 80227-6240

Mailing address

8316 W Eastman PL
Lakewood, CO 80227-6240
Phone (917) 971-6956

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

State licenses

LicenseStateTypeSpecialty
APN.0993978-NPCOMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: svetlana.polyakova.1@16716.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1649740093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 W EASTMAN PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802276240",
            "telephone_number": "917-971-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 W EASTMAN PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802276240",
            "telephone_number": "917-971-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLYAKOVA",
        "first_name": "SVETLANA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993978-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.