Olga Kondurova

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AG0714151 Issued in MA

Practice address

7 Butterfield Rd
Lexington, MA 02420-2538

Phone

(781) 258-7635

NPI assigned

Dec 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1841611894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BUTTERFIELD RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024202538",
            "telephone_number": "781-258-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BUTTERFIELD RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024202538",
            "telephone_number": "781-258-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDUROVA",
        "first_name": "OLGA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "AG0714151",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "AG0714151",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2285147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Howard Kobelin, M.D.
• William C Koch, M.D.
• Nancy Page Kohlhepp
• Katherine Kolaczenko
• Kathy Kommit
• Georgia Kondylis, BA
• Risa J Korn, M.D.
• Leah Juliet Kornguth, OT
• Re Becca Lynn Kosterman, LICSW
• Kevin M Kozin, LICSW

• Adult Health Nurse Practitioner in Lexington, MA
• Providers in Lexington, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.