OLGA DEKHTIAREVA


Address: 15825 Shady Grove Rd, 140, Rockville, MD 20850-4008
Phone: 3018699776

OLGA DEKHTIAREVA (NPI# 1336377498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336377498
Entity Type Individual
Full Name OLGA DEKHTIAREVA
Credential CRNP ADULT
Practice Address 15825 Shady Grove Rd
140
Rockville
MD 20850-4008
Mailing Address 15825 Shady Grove Rd
140
Rockville
MD 20850-4015
Practice Telephone 3018699776
Practice Fax Number 3012162592
Mailing Telephone 3018699776
Mailing Fax Number 3012162592
Enumeration Date 2009-06-29
Last Update Date 2014-06-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
R180041 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 15825 SHADY GROVE RD
140
City ROCKVILLE
State MD
Zip Code 20850-4008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689667941 Mary Pamela Godwin Nurse Practitioner 15825 Shady Grove Rd, Suite 140, Rockville, MD 20850-4008 2005-08-23
1760978472 Jocelyn I Vas Counselor 15825 Shady Grove Rd, Rockville, MD 20850-4008 2018-07-05
1194174581 Kristin Crosby Dietitian, Registered 15825 Shady Grove Rd, Suite 140, Rockville, MD 20850-4008 2016-06-07
1831492586 Comprehensive Primary Care and Associates LLC Family Medicine 15825 Shady Grove Rd, Suite 140, Rockville, MD 20850 2010-12-17
1336449420 Diane Catharine Darcy Dietitian, Registered 15825 Shady Grove Rd, Suite 140, Rockville, MD 20850-4008 2010-10-24
1396988283 Marina Zemskova Internal Medicine 15825 Shady Grove Rd, Suite 140, Rockville, MD 20850-4008 2009-04-08
1720262009 Sippora Michelle Lehrhaupt Physician Assistant 15825 Shady Grove Rd, Suite 140, Rockville, MD 20850-4008 2007-12-22
1659553535 Progressive Physical Therapy, LLC Physical Therapist 15825 Shady Grove Rd, Suite 50, Rockville, MD 20850 2007-12-03
1598811630 Lili Ghazai Dentist 15825 Shady Grove Rd, Suite #120, Rockville, MD 20850-4008 2007-01-25
1942369954 John Arthur Schaefer Physical Therapist 15825 Shady Grove Rd, Suite 50, Rockville, MD 20850-4008 2006-12-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487286050 Um Fdsp Associates, P.a. Dentist 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 2020-02-11
1134767874 Bh Brightview Fallsgrove Opco, LLC Alzheimer Center (Dementia Center) 9200 Darnestown Road, Rockville, MD 20850 2019-12-12
1750924205 Omer N Pamuk Internal Medicine 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 2019-10-28
1902456502 Fousseyni M Diawara Radiologic Technologist 1680 E Gude Dr Ste 302, Rockville, MD 20850 2019-09-16
1104485697 Barbara S Delsack Speech-Language Pathologist Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 2019-06-10
1982178158 Larissa Woloszyn Behavioral Analyst 15425 Shady Grove, Suite 320, Rockville, MD 20850 2019-01-21
1417421843 Wei Li Acupuncturist 9600 Blackwell Road. Suite 300, Rockville, MD 20850 2019-01-18
1881168805 Heather Jean Scurtu Mann Psychologist Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 2019-01-12
1295208486 Laura Hanley Physical Therapy Assistant The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 2019-01-10
1538641964 Shamire Pierre-louis Speech-Language Pathologist 2 Research Place, Rockville, MD 20850 2018-09-01
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891250155 Np Home Assess Nurse Practitioner 891i Rockville Pike Ste 126, Rockville, MD 20852-1229 2019-01-31
1952782880 You Rim Hur Nurse Practitioner 1684 E Gude Dr Ste 202, Rockville, MD 20850-5338 2015-06-16
1194153304 Bethany Storz Nurse Practitioner 10110 Molecular Drive Suite 206, Rockville, MD 20850 2013-10-25
1639339831 Andrea S. Kohn Nurse Practitioner 9711 Medical Center Dr., Ste. 308, Rockville, MD 20850 2008-06-11
1225156078 Colleen O. Lee Nurse Practitioner 6116 Executive Blvd Suite 609, Rockville, MD 20852 2007-03-27
1407902299 Mary E Nichols Nurse Practitioner 15005 Shady Grove Rd Ste 450, Rockville, MD 20850-6377 2007-01-26
1386671113 Margaret Gatlin Smith Nurse Practitioner 12730 Twinbrook Pkwy, Rockville, MD 20852-1748 2006-06-27
1689667941 Mary Pamela Godwin Nurse Practitioner 15825 Shady Grove Rd, Suite 140, Rockville, MD 20850-4008 2005-08-23
1053879429 Nova La Marr Preval Nurse Practitioner 10110 Molecular Dr Ste 206, Rockville, MD 20850-7542 2019-03-05
1912420811 Carol Ann Dodson Nurse Practitioner 15245 Shady Grove Rd Ste 130, Rockville, MD 20850-6240 2017-07-23
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Competitor

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City ROCKVILLE
Zip Code 20850

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Dataset Information

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.

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