Individual provider Active NPI

Maja Citakovic, ARNP, FNP-C

  • Family Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1356714422
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9320695 Issued in FL
Practice address
6290 Linton Blvd Ste 102
Delray Beach, FL 33484-6409
Phone
(561) 499-4217
Fax
(561) 865-4471
NPI assigned
Nov 11, 2015
Last updated
Nov 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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 9320695 FL Primary

Addresses

Primary practice location

6290 Linton Blvd Ste 102
Delray Beach, FL 33484-6409

Mailing address

6290 Linton Blvd Ste 102
Delray Beach, FL 33484-6409
Phone (561) 499-4217

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9320695FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1356714422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6290 LINTON BLVD STE 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846409",
            "telephone_number": "561-499-4217",
            "fax_number": "561-865-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 LINTON BLVD STE 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846409",
            "telephone_number": "561-499-4217",
            "fax_number": "561-865-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITAKOVIC",
        "first_name": "MAJA",
        "credential": "ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9320695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.