Svetlana Dyshko

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0029713 Issued in OH

Practice address

1339 N Main St
North Canton, OH 44720-1972

Phone

(330) 417-5040

NPI assigned

Sep 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1710658190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 N MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201972",
            "telephone_number": "330-417-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 N MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201972",
            "telephone_number": "330-417-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYSHKO",
        "first_name": "SVETLANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0029713",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0029713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey S Dulik, D.O.
• Ryan S Dundon, PTA
• Sean M Dunlap, PTA
• Lisa Dutko
• Christina M Dvorak, OTR/L
• Danielle Easterday
• Jeff P. Eastman
• Marilyn Eble, OTA.006708
• Diane M Eckard, COTA
• Carrie Eckhauser, PA-C

• Family Nurse Practitioner in North Canton, OH
• Providers in North Canton, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.