Inessa Kondratyeva, CM61088312

Primary specialty

Assistant Health Information Record TechnicianTaxonomy code 2470A2800X

Practice address

201 Highland Dr
Buena, WA 98921-0139

Phone

(509) 865-6705

NPI assigned

Nov 19, 2021

Last updated

Nov 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1801553201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S 3RD ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989012875",
            "telephone_number": "509-248-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HIGHLAND DR",
            "city": "BUENA",
            "state": "WA",
            "postal_code": "989210139",
            "telephone_number": "509-865-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDRATYEVA",
        "first_name": "INESSA",
        "credential": "CM61088312",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2470A2800X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information, Assistant Record Technician",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91-0755984",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony S Castro
• Maria Elena Contreras, CMA
• Teresa S Cooper, CM61087822
• Chase Craig
• Jamie Renee Holmes, CO61299263
• Lori Ann Leach
• Isabella Zulette Lopez
• Lisa Louise Rivera, CM61165804
• Carmenlita Ladonna Solis
• Nathan Lee Thompson

• Assistant Health Information Record Technician in Buena, WA
• Providers in Buena, WA by specialty
• Assistant Health Information Record Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.