Gulnora Kiyamova II

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

933616 Issued in AK

Practice address

1113 W 32ND Ave
Anchorage, AK 99503-3728

Phone

(907) 720-2171

Fax

(907) 272-7244

NPI assigned

Sep 2, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Executive Care LLC

  • In Home Supportive Care Agency
  • Anchorage, AK
  • NPI 1669777637
  NPD (past) Authorized official

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1952534208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 W 32ND AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033728",
            "telephone_number": "907-720-2171",
            "fax_number": "907-272-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 W 32ND AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033728",
            "telephone_number": "907-720-2171",
            "fax_number": "907-272-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIYAMOVA",
        "first_name": "GULNORA",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "AK",
            "license": "933616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALASKA",
            "identifier": "933616",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Marie Kittleson
• Larry Kittleson
• Rita Mae Kittoe, RNC
• Kiwi Assisted Living Home
• Kiwi Assisted Living Home III
• Patricia Kjellsen
• Gary Michael Kjome, O.D.
• Dana Marie Klaameyer, C.P.O.
• Kelcie Kleaver, INTERN
• Mary Elizabeth Klebs, LMT

• Home Health Aide in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Home Health Aide in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.