Individual provider Active NPI

Lyudmila Kushmakova, FNP

  • Primary Care Nurse Practitioner
  • Fresh Meadows, NY
National Provider Identifier
1992624951
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
359024 Issued in NY
Practice address
6920 178TH St
Fresh Meadows, NY 11365-3443
Phone
(718) 433-7862
NPI assigned
Jul 14, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 359024 NY Primary

Addresses

Primary practice location

6920 178TH St
Fresh Meadows, NY 11365-3443

Mailing address

6920 178TH St
Fresh Meadows, NY 11365-3443
Phone (718) 433-7862

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

NPI Registry JSON

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1992624951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 178TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653443",
            "telephone_number": "718-433-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 178TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653443",
            "telephone_number": "718-433-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHMAKOVA",
        "first_name": "LYUDMILA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "359024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.