Individual provider Active NPI

Lyudmila Zhilevich, RN

  • Registered Nurse
  • Lockport, NY
National Provider Identifier
1871261164
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
545084-1 Issued in NY
Practice address
6825 Bear Ridge Rd
Lockport, NY 14094-9215
Phone
(716) 909-3935
NPI assigned
Sep 1, 2021
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 545084-1 NY Primary

Addresses

Primary practice location

6825 Bear Ridge Rd
Lockport, NY 14094-9215

Mailing address

6825 Bear Ridge Rd
Lockport, NY 14094-9215
Phone (716) 909-3935

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lockport Direct

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
545084-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1871261164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 BEAR RIDGE RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949215",
            "telephone_number": "716-909-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 BEAR RIDGE RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949215",
            "telephone_number": "716-909-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHILEVICH",
        "first_name": "LYUDMILA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "545084-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lockport",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6825 Bear Ridge Rd",
            "city": "Lockport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140949215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.