Individual provider Active NPI

Tatyana Apostolow, RN

  • Registered Nurse
  • San Antonio, TX
National Provider Identifier
1992284509
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
657816 Issued in TX
Practice address
10609 W Ih 10 Ste 105
San Antonio, TX 78230-1673
Phone
(210) 344-5437
Fax
(210) 340-1259
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 657816 TX Primary

Addresses

Primary practice location

10609 W Ih 10 Ste 105
San Antonio, TX 78230-1673

Mailing address

10609 W Ih 10 Ste 105
San Antonio, TX 78230-1673
Phone (210) 344-5437

Other identifiers 1

IdentifierTypeStateIssuer
173913801MedicaidTX

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
657816TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1992284509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10609 W IH 10 STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301673",
            "telephone_number": "210-344-5437",
            "fax_number": "210-340-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10609 W IH 10 STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301673",
            "telephone_number": "210-344-5437",
            "fax_number": "210-340-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APOSTOLOW",
        "first_name": "TATYANA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "657816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173913801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.