Individual provider Active NPI

Jasmine Sadikovic

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1326641432
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
134587 Issued in KY
Practice address
227 Browns LN
Louisville, KY 40207-3215
Phone
(502) 893-2595
Fax
(502) 893-1811
NPI assigned
Nov 19, 2020
Last updated
Nov 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 134587 KY Primary

Addresses

Primary practice location

227 Browns LN
Louisville, KY 40207-3215

Mailing address

227 Browns LN
Louisville, KY 40207-3215
Phone (502) 893-2595

Other names 1

  • Jasminka Ajanovic Sadikovic Former name

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
134587KYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1326641432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 BROWNS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073215",
            "telephone_number": "502-893-2595",
            "fax_number": "502-893-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 BROWNS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073215",
            "telephone_number": "502-893-2595",
            "fax_number": "502-893-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIKOVIC",
        "first_name": "JASMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "134587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMINKA",
            "last_name": "AJANOVIC SADIKOVIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.