Individual provider Active NPI

Iryna B Durnyeva, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1780021485
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306467-1 Issued in NY
Practice address
450 Clarkson Ave RM B5-485
Brooklyn, NY 11203-2012
Phone
(718) 270-8323
Fax
(718) 270-1578
NPI assigned
Jun 4, 2013
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306467-1 NY Primary

Addresses

Primary practice location

450 Clarkson Ave RM B5-485
Brooklyn, NY 11203-2012

Mailing address

444 Neptune Ave Apt 3R
Brooklyn, NY 11224-4407
Phone (917) 497-2974

Other names 1

  • Iryna B Durnyeva Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207001745 NY Order and Referring Only - Nurse Practitioner 5496198442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F306467-1NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1780021485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE AVE APT 3R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244407",
            "telephone_number": "917-497-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE RM B5-485",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-8323",
            "fax_number": "718-270-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURNYEVA",
        "first_name": "IRYNA",
        "middle_name": "B",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306467-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRYNA",
            "last_name": "DURNYEVA",
            "middle_name": "B",
            "credential": "NURSE PRACTITIONER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.