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Active NPI 1164820668 Individual Practitioner Female Practitioner

Mariya Khomlyak , NAR

Contractor • Renton, WA

Professional Overview & Biography Verified Profile Summary

Mariya Khomlyak, NAR is a registered healthcare professional specializing in Contractor in Renton, WA. Practice services are available at 2111 SHATTUCK PL S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2111 Shattuck Pl S

Renton, WA 980554289

Telephone 4252770452
Fax 4252711107

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Renton, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Renton, WA (234 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License WA 750970

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Social Service Payment System Number
156016 (WA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active December 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2014

Registered at 2111 SHATTUCK PL S, RENTON, WA 980554289 (Tel: 4252770452)

📍
Updated Business Mailing Address December 15, 2014

Registered at 2111 SHATTUCK PL S, RENTON, WA 980554289 (Tel: 4252770452)

👤
Provider Name / Credentials Updated December 15, 2014

Recorded as MARIYA KHOMLYAK, NAR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2014

Contractor (License #750970 in WA)

🟢
Initial NPI Registration & Enumeration December 15, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164820668
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2014
Last Update: December 15, 2014
Sole Proprietor: No
Update or Correct Profile

Mailing Address

2111 Shattuck Pl S

Renton, WA 980554289

Phone: 4252770452

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.