TATAYANA MALTSEVA (NPI# 1134502578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134502578 |
| Entity Type | Individual |
| Full Name | TATAYANA MALTSEVA |
| Credential | APRN, PMHNP-BC |
| Practice Address |
1957 Jackson St Hollywood FL 33020-5021 |
| Mailing Address |
4740 N State Road 7 Lauderdale Lakes FL 33319-5839 |
| Practice Telephone | 9549212600 |
| Mailing Telephone | 9544864005 |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN3027352 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 Nw 12th Ave, Miami, FL 331361003 | 3056894444 |
| Street Address |
1957 JACKSON ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104924919 | Marta Angelica Covache | Specialist | 1957 Jackson St, Hollywood, FL 33020-5021 | 2006-09-20 |
| 1083103410 | Norma Elaine Harrisingh-fieldings | Social Worker | 1957 Jackson St, Hollywood, FL 33020 | 2018-05-01 |
| 1063925709 | Caroline Duarte | Counselor | 1957 Jackson St, Hollywood, FL 33020-5021 | 2017-11-15 |
| 1487185237 | Joanes St. Surin | Case Manager/Care Coordinator | 1957 Jackson St, Hollywood, FL 33020-5021 | 2017-03-23 |
| 1710363189 | Cristina Castellanos | Social Worker | 1957 Jackson St, Hollywood, FL 33020-5021 | 2015-08-07 |
| 1992184923 | Adrienn Nagy | Counselor | 1957 Jackson St, Hollywood, FL 33020-5021 | 2015-05-22 |
| 1891130530 | Francis Griffith | Nurse Practitioner | 1957 Jackson St, Hollywood, FL 33020-5021 | 2013-05-08 |
| 1528239688 | Jeanette Vinov Steinberg | Nurse Practitioner | 1957 Jackson St, Hollywood, FL 33020-5021 | 2008-03-17 |
| 1528197654 | Jeanine Donaldson Nix | Counselor | 1957 Jackson St, Hollywood, FL 33020-5021 | 2007-03-05 |
| 1356478044 | Rita Brennan | Case Manager/Care Coordinator | 1957 Jackson St, Hollywood, FL 33020-5021 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1558794412 | Brayne Concepts, Inc | Nurse Practitioner | 3341 N University Dr, Suite # 1, Hollywood, FL 33024-2291 | 2013-08-14 |
| 1275839953 | E Sullivan Arnp Pa | Nurse Practitioner | 10979 Mainsail Dr, Hollywood, FL 33026-4720 | 2011-01-28 |
| 1346560307 | Psych Pro, Inc | Nurse Practitioner | 2443 Jackson St, Hollywood, FL 33020-4928 | 2010-06-01 |
| 1124094701 | Rolando Q Santos | Nurse Practitioner | 3400 N 29th Ave, Hollywood, FL 33020 | 2006-02-24 |
| 1134745185 | Cindy Sayonara Derequito | Nurse Practitioner | 7261 Sheridan St Ste 100b, Hollywood, FL 33024-2708 | 2020-06-24 |
| 1144860453 | Karina Gitlin | Nurse Practitioner | 7369 Sheridan St Ste 203, Hollywood, FL 33024-2776 | 2020-01-14 |
| 1710522735 | Maria Mercedes Pimentel | Nurse Practitioner | 7261 Sheridan St Ste 100b, Hollywood, FL 33024-2708 | 2019-11-13 |
| 1992276760 | Lorinda Lo | Nurse Practitioner | 4110 Davie Road Ext, Hollywood, FL 33024-1679 | 2018-12-05 |
| 1750850863 | Muhammad Kashif Nawaz | Nurse Practitioner | 7369 Sheridan St Ste 203, Hollywood, FL 33024-2776 | 2018-11-19 |
| Find all providers in HOLLYWOOD | ||||
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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.