Larisa Vladimirovna Bukhovko, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2290340 Issued in MA

Practice address

20 Linden St
Allston, MA 02134-1711

Phone

(617) 782-9900

NPI assigned

Oct 18, 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)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1760145643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BROADMOOR LN",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604951",
            "telephone_number": "978-818-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LINDEN ST",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341711",
            "telephone_number": "617-782-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKHOVKO",
        "first_name": "LARISA",
        "middle_name": "VLADIMIROVNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "AG10210012",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2290340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mellisa Bryson
• Shivani Buchan
• Anna Catherine Buckingham
• Lisa A Buckingham, M.A.
• Maryellen B Buckley Cyr, NP
• Nora Lorraine Buonagurio
• Rachel Burtman
• Jayne Marie Busa
• Stephanie Jayne Butler
• Emilio Cabanas

• Nurse Practitioner in Allston, MA
• Providers in Allston, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.