Lyudmyla Polishchuk, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9855384-4405 Issued in UT

Practice address

421 Adams St
Naturita, CO 81422-5018

Phone

(970) 865-2665

Fax

(970) 865-2674

NPI assigned

Jun 4, 2024

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

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22466/brand/1/csg/1/fhir/r4

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

• Basin Clinic Inc

  • Family Medicine Physician
  • Naturita, CO
  • NPI 1114974037
  NPD
• Mountain Radiology, Inc

  • Diagnostic Radiology Physician
  • Grand Junction, CO
  • NPI 1093823742
  NPD (past)

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1922849017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "NATURITA",
            "state": "CO",
            "postal_code": "814220340",
            "telephone_number": "970-865-2665",
            "fax_number": "855-865-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 ADAMS ST",
            "city": "NATURITA",
            "state": "CO",
            "postal_code": "814225018",
            "telephone_number": "970-865-2665",
            "fax_number": "970-865-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLISHCHUK",
        "first_name": "LYUDMYLA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "9855384-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken Jenks, PA
• Mary A. Kus, APRN, FNP-C
• Eugene Joseph Lucero, PAC
• MLS Senior Care LLC
• Montrose County School District Re-2
• April Lee Randle, M.D.
• Carolyn Louise Scott, PA-C
• Southwest Colorado Mental Health Center Inc Dba Axis Health System
• Robert R Tapley, APRN-BC FNP
• Mark W. Walker, FNP-C

• Family Medicine Physician in Naturita, CO
• Providers in Naturita, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.