Kristina Tahirova, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

905055 Issued in NY

Practice address

621 Monmouth Ave
Port Monmouth, NJ 07758-1614

Phone

(646) 577-8616

NPI assigned

Sep 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1821876368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 MONMOUTH AVE",
            "city": "PORT MONMOUTH",
            "state": "NJ",
            "postal_code": "077581614",
            "telephone_number": "646-577-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MONMOUTH AVE",
            "city": "PORT MONMOUTH",
            "state": "NJ",
            "postal_code": "077581614",
            "telephone_number": "646-577-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHIROVA",
        "first_name": "KRISTINA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "905055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danyelle Rolnick, PHARM.D., RPH., CCP
• Brooke Ashlie Rudolph
• Victoria Russo, PA
• Pankti Shah
• Manu Sharma
• Lauren Tenenbaum, LCSW
• Yelena Tulman
• Walgreen Co
• Walgreen Co
• YMCA of Greater Monmouth County

• All providers in Port Monmouth, NJ
• Home Health Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.