Individual provider Active NPI

Anita Ulakovic, FNP-C

  • Family Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1245806538
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
256895 Issued in AZ
Practice address
18081 N 91St Dr
Peoria, AZ 85382-7710
Phone
(602) 518-4293
NPI assigned
May 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 256895 AZ Primary

Addresses

Primary practice location

18081 N 91St Dr
Peoria, AZ 85382-7710

Mailing address

18081 N 91St Dr
Peoria, AZ 85382-7710
Phone (602) 518-4293

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL anita.ulakovic@yahoo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
256895AZMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1245806538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18081 N 91ST DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827710",
            "telephone_number": "602-518-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18081 N 91ST DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827710",
            "telephone_number": "602-518-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULAKOVIC",
        "first_name": "ANITA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "256895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "anita.ulakovic@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "anita.ulakovic@yahoo.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "18081 N 91st Dr",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853827710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.