Active NPI
Anton Fedorovich Galenko
- Nurse's Aide
- Shoreline, WA
National Provider Identifier
1730587924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 20109 21St CT NE
Shoreline, WA 98155-1311 - Phone
- (206) 455-4636
- Fax
- (206) 366-2810
- NPI assigned
- Dec 20, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | WA | Primary | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
20109 21St CT NE
Shoreline, WA 98155-1311
Mailing address
20109 21St CT NE
Shoreline, WA 98155-1311
Phone (206) 455-4636
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423180800000",
"number": "1730587924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20109 21ST CT NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981551311",
"telephone_number": "206-455-4636",
"fax_number": "206-366-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20109 21ST CT NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981551311",
"telephone_number": "206-455-4636",
"fax_number": "206-366-2810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALENKO",
"first_name": "ANTON",
"middle_name": "FEDOROVICH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-20",
"last_updated": "2015-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "WA",
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.