Individual provider Active NPI

Nataliya Mostovyy, FNP-BC

  • Nurse Practitioner
  • River Grove, IL
National Provider Identifier
1851026306
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.025384 Issued in IL
Practice address
9017 Fullerton Ave Apt Suite
River Grove, IL 60171-1811
Phone
(773) 516-1743
NPI assigned
Jul 19, 2022
Last updated
Oct 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.025384 IL Primary
Family Nurse Practitioner 363LF0000X 2022002002 IL

Addresses

Primary practice location

9017 Fullerton Ave Apt Suite
River Grove, IL 60171-1811

Mailing address

9017 Fullerton Ave Apt Suite
River Grove, IL 60171-1811
Phone (773) 516-1743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.025384ILMDNurse Practitioner
2022002002ILMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1851026306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9017 FULLERTON AVE APT SUITE",
            "city": "RIVER GROVE",
            "state": "IL",
            "postal_code": "601711811",
            "telephone_number": "773-516-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9017 FULLERTON AVE APT SUITE",
            "city": "RIVER GROVE",
            "state": "IL",
            "postal_code": "601711811",
            "telephone_number": "773-516-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTOVYY",
        "first_name": "NATALIYA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.025384",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "2022002002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Grove, IL

Sources for this page

Verify at the official NPI Registry.