Maria Jaroslavina Dyakiv, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

334478-1 Issued in NY

Practice address

43 Colonial Dr
Penfield, NY 14526-1032

Phone

(585) 410-2905

NPI assigned

Jan 22, 2019

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

State licenses

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1861956013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 COLONIAL DR",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261032",
            "telephone_number": "585-410-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 COLONIAL DR",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261032",
            "telephone_number": "585-410-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYAKIV",
        "first_name": "MARIA",
        "middle_name": "JAROSLAVINA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "334478-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Verrone and Dr. Peters, O.D., P.C.
• Dr. Verrone and Dr. Peters, O.D., P.C.
• Jamie Drooz, LMHC
• Donald Duckles, MD
• Megan Catherine Durval
• Kathe Sue Dziura, R.N.
• Eastside Medical Urgent Care, LLC
• Amanda Eggleton, LMSW
• Nicole Ehrne
• Elderwood Assisted Living at Penfield LLC

• Licensed Practical Nurse in Penfield, NY
• Providers in Penfield, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.