STEFAN GROZLEKOV
Complete NPI Record 1972358968
Student in an Organized Health Care Education/Training Program in Nashville, TN
Active since April 22, 2024PECOS Enrolled
Complete NPI Dataset
This page contains the complete raw NPPES record for Stefan Grozlekov (NPI 1972358968), an individual student in an organized health care education/training program provider in Nashville, TN. All 24 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1972358968 Field 1/24
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/24
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: GROZLEKOV Field 3/24
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: STEFAN Field 4/24
- The first name of the provider, if the provider is an individual.
- Provider First Line Business Mailing Address: 14188 WALCOTT AVE Field 5/24
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: ORLANDO Field 6/24
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: FL Field 7/24
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 328277465 Field 8/24
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/24
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 7277689256 Field 10/24
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 719 THOMPSON LN STE 20400 Field 11/24
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: NASHVILLE Field 12/24
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: TN Field 13/24
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 372044600 Field 14/24
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 15/24
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 6159363218 Field 16/24
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 6159363533 Field 17/24
- The fax number associated with the location address of the provider being identified.
- Provider Gender Code: M Field 20/24
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 390200000X Field 21/24
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 22/24
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: N Field 23/24
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
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