Individual provider Active NPI

Tatyana Burmistrova, RN

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1780929695
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
656823 Issued in NY
Practice address
1809 Nostrand Ave
2ND FLR
Brooklyn, NY 11226-7181
Phone
(718) 421-4224
Fax
(718) 421-4774
NPI assigned
Dec 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 656823 NY Primary

Addresses

Primary practice location

1809 Nostrand Ave
2ND FLR
Brooklyn, NY 11226-7181

Mailing address

1809 Nostrand Ave
2ND FLR
Brooklyn, NY 11226-7181
Phone (718) 421-4224

Other identifiers 1

IdentifierTypeStateIssuer
02386450MedicaidNY

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
656823NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Helpful Hand Agency Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1780929695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 NOSTRAND AVE",
            "address_2": "2ND FLR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267181",
            "telephone_number": "718-421-4224",
            "fax_number": "718-421-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 NOSTRAND AVE",
            "address_2": "2ND FLR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267181",
            "telephone_number": "718-421-4224",
            "fax_number": "718-421-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURMISTROVA",
        "first_name": "TATYANA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "656823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02386450",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.