Kristy Lyn Arutyunova, LSW

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

CFH-4998 Issued in ID

Practice address

3950 Ridgeview Cir
Ammon, ID 83406-4655

Phone

(208) 390-9085

NPI assigned

Mar 31, 2023

Last updated

Mar 31, 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 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": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1902501968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 RIDGEVIEW CIR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064655",
            "telephone_number": "120-839-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 RIDGEVIEW CIR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064655",
            "telephone_number": "208-390-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARUTYUNOVA",
        "first_name": "KRISTY",
        "middle_name": "LYN",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "ID",
            "license": "CFH-4998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Ammon, ID
• Providers in Ammon, ID by specialty
• Adult Care Home Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.