Geneva S Tzenov, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60046050 Issued in WA

Practice address

828 Mox Chehalis Rd
McCleary, WA 98557-9408

Phone

(360) 470-0671

Fax

(360) 464-2617

NPI assigned

Jan 16, 2009

Last updated

Jan 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hearthstone Dermatology Nonprofit Professional Services

  • Voluntary or Charitable Agency
  • McCleary, WA
  • NPI 1477169753
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1881831501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 MOX CHEHALIS RD",
            "city": "MCCLEARY",
            "state": "WA",
            "postal_code": "985579408",
            "telephone_number": "360-470-0671",
            "fax_number": "360-464-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 MOX CHEHALIS RD",
            "city": "MCCLEARY",
            "state": "WA",
            "postal_code": "985579408",
            "telephone_number": "360-470-0671",
            "fax_number": "360-464-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZENOV",
        "first_name": "GENEVA",
        "middle_name": "S",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60046050",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60046050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Susan Swenson
• Christian Taylor
• Telecare Mental Health Services of Washington, Inc (Telecare Mark Reed E&T)
• Asia Antoinette Thomas, RN
• Amanda Lee Tomasura, LSWAIC, MSW
• Anita Dawn Ulakovich
• Kristin Van Valkenburg, RN
• Amy Walker
• Sabine Wallock
• Will Mark Ward

• Family Nurse Practitioner in McCleary, WA
• Providers in McCleary, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.