Tatyana A Kushnirenko, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

17653 Issued in CA

Practice address

6400 Laurel Canyon Blvd
Suite 610
North Hollywood, CA 91606-1571

Phone

(818) 509-0022

Fax

(818) 509-0044

NPI assigned

Dec 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tatyana.kushnirenko.p1@direct.cdsdp.nextgenshare.com

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.

• All Care One Community Health Center

  • Community Health Clinic/Center
  • Huntington Park, CA
  • NPI 1467752626
  NPD (past)
• Pacific Multi Specialty Medical Group, Inc.

  • Ph.D. Medical Genetics
  • Glendale, CA
  • NPI 1538100094
  NPD (past)
• Thinh T. Le DPM Inc.

  • Foot Surgery Podiatrist
  • Upland, CA
  • NPI 1598708117
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1992989305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 LAUREL CANYON BLVD",
            "address_2": "SUITE 610",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061571",
            "telephone_number": "818-509-0022",
            "fax_number": "818-509-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 LAUREL CANYON BLVD",
            "address_2": "SUITE 610",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061571",
            "telephone_number": "818-509-0022",
            "fax_number": "818-509-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNIRENKO",
        "first_name": "TATYANA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "592600",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "17653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kudugulyan
• Justin Kuester, NP
• Marissa Rose Kugler
• Maria Kunzmann
• Lily Kurumada
• John Kutney
• Thomas Kutrosky, O.D.
• Lindie M Kuzmich
• KVM Medical Supply
• L and a Labs Inc

• Acute Care Nurse Practitioner in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.