Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tatsiana Boutenko, NP

Individual provider Adult Health Nurse Practitioner · NPI 1124650163

Tatsiana Boutenko, NP is a Nurse Practitioner in Elmhurst, New York. Qualified in 2019, 7 years ago. Practices with New York City Health and Hospitals Corporation, a 538-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

7901 Broadway
Elmhurst, NY 11373-1329
Phone: (718) 334-3057
Fax: (718) 334-5006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 309137 (NY)

Record details

NPI number1124650163
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 7, 2020
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020
Mailing address7901 Broadway, Elmhurst, NY 11373-1329

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice New York City Health And Hospitals Corporation — 538 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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