Individual provider Active NPI

Tatyana Semenova, NP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1891166468
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F307141 Issued in NY
Practice address
2717 E 28TH St
Apt 6E
Brooklyn, NY 11235-2477
Phone
(347) 332-9186
Fax
(718) 975-8502
NPI assigned
Oct 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F307141 NY Primary

Addresses

Primary practice location

2717 E 28TH St
Apt 6E
Brooklyn, NY 11235-2477

Mailing address

2717 E 28TH St Apt 6E
Brooklyn, NY 11235-2477
Phone (347) 332-9186

Other names 1

  • Prof. Edelweiss Edelweiss Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F307141NYMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: tatyana.semenova@multicaremed.ehi.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1891166468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 E 28TH ST APT 6E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352477",
            "telephone_number": "347-332-9186",
            "fax_number": "718-975-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 E 28TH ST",
            "address_2": "APT 6E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352477",
            "telephone_number": "347-332-9186",
            "fax_number": "718-975-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMENOVA",
        "first_name": "TATYANA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDELWEISS",
            "last_name": "EDELWEISS",
            "prefix": "PROF.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.