ANASTASIYA PERESKOKOVA (NPI# 1477019941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477019941 |
| Entity Type | Individual |
| Full Name | ANASTASIYA PERESKOKOVA |
| Credential | AGNP |
| Practice Address |
3999 Richmond Rd Beachwood OH 44122-6046 |
| Mailing Address |
1902 Harding Dr Wickliffe OH 44092-1053 |
| Practice Telephone | 2162854195 |
| Practice Fax Number | 2162017110 |
| Mailing Telephone | 4402838338 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN.CNP.024290 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN.CNP.024290 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3999 RICHMOND RD |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-6046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497744734 | Anupinder S. Hazra | Radiology | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2005-10-19 |
| 1760090658 | Aaron Michael Barber | Pharmacist | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2020-07-17 |
| 1255949061 | Emily Elizabeth Bean | Pharmacist | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2020-07-17 |
| 1285254771 | Yanilsa Esther Santiago | Nurse Practitioner | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2020-04-24 |
| 1902439235 | Kylene M Camilletti | Nurse Practitioner | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2020-02-14 |
| 1730739970 | Deanna Kupar | Registered Nurse | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2019-09-19 |
| 1295384352 | Kimberly S. Nielsen | Nurse Practitioner | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2019-09-10 |
| 1982253217 | Jennifer Kay Swansiger | Nurse Practitioner | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2019-09-09 |
| 1164984662 | Naveen Khan | Physician Assistant | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2019-04-03 |
| 1871058057 | Kanisha Harwell | Social Worker | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2019-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205210598 | Joanne Kathleen Bickerton | Nurse Practitioner | 3025 Science Park Dr, Beachwood, OH 44122-7333 | 2015-07-16 |
| 1467086041 | Nicholas Pawlowski | Nurse Practitioner | 3619 Park East Dr, Beachwood, OH 44122-4330 | 2020-02-24 |
| 1902439235 | Kylene M Camilletti | Nurse Practitioner | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2020-02-14 |
| 1467921155 | Gina M Restifo | Nurse Practitioner | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2018-11-26 |
| 1114401148 | Kayla Elizabeth Aiosa | Nurse Practitioner | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2018-09-14 |
| 1770012429 | Michal Gerblich | Nurse Practitioner | 3700 Park East Dr Ste 100, Beachwood, OH 44122-4339 | 2017-06-07 |
| 1891224549 | Kristin L Bernstein | Nurse Practitioner | 3700 Park East Dr Ste 100, Beachwood, OH 44122-4339 | 2017-06-07 |
| 1871048256 | Tracy Hunter | Nurse Practitioner | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2016-08-16 |
| 1417400136 | Nicole Sedano | Nurse Practitioner | 3700 Park East Dr, Beachwood, OH 44122-4305 | 2016-07-28 |
| 1932567963 | Kathryn Hanneman Skrout | Nurse Practitioner | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2016-02-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.