Zhanna Gudzyuk, NP
Individual provider Active NPI Family Nurse Practitioner · Milton, WA
NPI 1871544080 · NPPES record last updated Apr 26, 2011
Key facts
- NPI
- 1871544080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP30007513 (WA)
- Practice address
- 2748 Milton Way Ste 101
Milton, WA 98354-9379 - Phone
- (253) 922-5262
- Fax
- (253) 922-5299
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Franciscan Medical Group
Practice addresses (Care Compare)
2748 Milton Way
Suite 101
Milton, WA 98354-9379
Phone (253) 922-5262
Hospital & facility affiliations
- St Joseph Medical Center
- St Francis Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070213000276 | WA | Practitioner - Nurse Practitioner | 5799787263 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3327301 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients | |
| United Health Services Hospitals, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3327301 | NY | |
| Family Nurse Practitioner | 363LF0000X | AP30007513 | WA | Yes |
Addresses
Primary practice location
2748 Milton Way Ste 101
Milton, WA 98354-9379
Mailing address
2748 Milton Way Ste 101
Milton, WA 98354-9379
Phone (253) 922-5262
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0216812 | Other | WA | STATE L&I |
Other providers in Milton, WA
- Lilia Galanesi
- Stevie Elizabeth Gipson
- Sandra Gobler
- Jennifer S. Gonzalez
- Gena Granstrom
- Garard Melvin Gustafson
- Stephen Haggard
- Haggarddpm Home Foot Care LLC
- Brandy Rae Harteau
- John Heckel
All providers in Milton, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.