Individual provider Active NPI

Sergey Vasily Artemenko Sr., PHD.,ND

  • Home Health Agency
  • Anchorage, AK
National Provider Identifier
1710110119
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
933371 Issued in AK
Practice address
8701 Runamuck PL
Anchorage, AK 99502-5630
Phone
(907) 232-6046
NPI assigned
Sep 1, 2009
Last updated
Sep 1, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 933371 AK Primary

Addresses

Primary practice location

8701 Runamuck PL
Anchorage, AK 99502-5630

Mailing address

PO Box 298323
Wasilla, AK 99629-8323
Phone (907) 232-6046

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
933371AKMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1710110119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298323",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996298323",
            "telephone_number": "907-232-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 RUNAMUCK PL",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025630",
            "telephone_number": "907-232-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTEMENKO",
        "first_name": "SERGEY",
        "middle_name": "VASILY",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PHD.,ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AK",
            "license": "933371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.