Karan Rutherford Djordjevic, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

6154 Issued in AK

Practice address

1296 Agvik
Barrow, AK 99723-0701

Phone

(907) 852-9312

NPI assigned

May 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043432107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701",
            "city": "BARROW",
            "state": "AK",
            "postal_code": "997230701",
            "telephone_number": "907-852-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 AGVIK",
            "city": "BARROW",
            "state": "AK",
            "postal_code": "997230701",
            "telephone_number": "907-852-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJORDJEVIC",
        "first_name": "KARAN",
        "middle_name": "RUTHERFORD",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AK",
            "license": "6154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Carter, MD
• Sharmin Islam Chowdhury, PHARMD
• Christopher Clark, DDS
• Judy Esther Dattus, LCSW
• Ma Kristel Ortilla Del Rosario
• Daisy M Edwardson
• Jessica Rosette Elston, BS, BA
• Nicole Panigeo Evans, BSW
• Jennifer Green
• Mary Anne Hall, R.N

• Licensed Practical Nurse in Barrow, AK
• Providers in Barrow, AK by specialty
• Licensed Practical Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.