Kadian Renae Mijic, AGNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11010538 Issued in FL

Practice address

10221 Yale Ave
Brooksville, FL 34613-8307

Phone

(352) 405-1125

NPI assigned

Nov 11, 2021

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

State licenses

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1114683315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10221 YALE AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346138307",
            "telephone_number": "352-405-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10221 YALE AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346138307",
            "telephone_number": "352-405-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIJIC",
        "first_name": "KADIAN",
        "middle_name": "RENAE",
        "name_prefix": "Ms.",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11010538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metabolic Health and Pain Management LLC
• John Meyer III
• Patricia Lynn Michael, LCSW
• Sean Michael
• Melissa Middlebrooks, MD
• Millennium Physician Group LLC
• Charles Mayer Miller, D.P.M.
• Jenna Ann Miller, LMHC
• Pamela Miller
• Xavia Miller

• Nurse Practitioner in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.