Active NPI
Andjelina Pupovac, CNP
- Primary Care Nurse Practitioner
- Avon, OH
National Provider Identifier
1356774301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- COA.14990-NP
- Practice address
- 33100 Cleveland Clinic Blvd
Richard E. Jacobs Health Ceneter Avw2-1
Avon, OH 44011-1390 - Phone
- (216) 798-3413
- Fax
- (440) 695-4639
- NPI assigned
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | COA.14990-NP | OH | Primary |
Addresses
Primary practice location
33100 Cleveland Clinic Blvd
Richard E. Jacobs Health Ceneter Avw2-1
Avon, OH 44011-1390
Mailing address
33100 Cleveland Clinic Blvd
Richard E. Jacobs Health Ceneter Avw2-1
Avon, OH 44011-1390
Phone (216) 798-3413
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
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.14990-NP | OH | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1356774301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33100 CLEVELAND CLINIC BLVD",
"address_2": "RICHARD E. JACOBS HEALTH CENETER AVW2-1",
"city": "AVON",
"state": "OH",
"postal_code": "440111390",
"telephone_number": "216-798-3413",
"fax_number": "440-695-4639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33100 CLEVELAND CLINIC BLVD",
"address_2": "RICHARD E. JACOBS HEALTH CENETER AVW2-1",
"city": "AVON",
"state": "OH",
"postal_code": "440111390",
"telephone_number": "216-798-3413",
"fax_number": "440-695-4639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUPOVAC",
"first_name": "ANDJELINA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OH",
"license": "COA.14990-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.