Active NPI
Katerina Segodnik, PHARMD
- Geriatric Pharmacist
- Las Vegas, NV
National Provider Identifier
1861058919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 19753
- Practice address
- 3210 N Tenaya Way
Las Vegas, NV 89129 - Phone
- (702) 396-7840
- NPI assigned
- May 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 19753 | NV | Primary |
Addresses
Primary practice location
3210 N Tenaya Way
Las Vegas, NV 89129
Mailing address
3210 N Tenaya Way
Las Vegas, NV 89129
Phone (702) 396-7840
Other names 1
- Katsiaryna Siahodnik
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19753 | NV | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1861058919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 N TENAYA WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89129",
"telephone_number": "702-396-7840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 N TENAYA WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89129",
"telephone_number": "702-396-7840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGODNIK",
"first_name": "KATERINA",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NV",
"license": "19753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATSIARYNA",
"last_name": "SIAHODNIK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.