IndividualActiveAccepts Medicare

Tatyana Khazova

NPI 1184475709 · Student in an Organized Health Care Education/Training Program · Albuquerque, NM

Enrolled with Medicare as Order and Referring Only - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1184475709
Entity type: Individual
Primary specialty: Student in an Organized Health Care Education/Training ProgramStudent, Health Care
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense RS2024-0044 (NM)
Student, Health Care
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Profile Score

Established profile(50/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

Msc09 5030 1 University of New Mexico

Albuquerque, NM 87131-0001

Phone: (505) 272-8244

Fax: (505) 272-4639

Approximate (ZIP-level) locationGet directions

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Mailing address