Anna Yudakova, BS

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

16919 N Bay Rd
Apt 207
Sunny Isles Beach, FL 33160-4253

Phone

(786) 372-3413

NPI assigned

Mar 6, 2017

Last updated

Mar 6, 2017By 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

Credentials

Bachelor of Science

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1932649233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16919 N BAY RD",
            "address_2": "APT 207",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604253",
            "telephone_number": "786-372-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16919 N BAY RD",
            "address_2": "APT 207",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604253",
            "telephone_number": "786-372-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUDAKOVA",
        "first_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental Therapist in Sunny Isles Beach, FL
• Providers in Sunny Isles Beach, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.