Tatjana Stevanovic, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2508-033 Issued in WI

Practice address

11111 W Oklahoma Ave
West Allis, WI 53227-4033

Phone

(414) 546-8000

Fax

(414) 546-2909

NPI assigned

Dec 12, 2006

Last updated

Jun 1, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stevanovic Clinics SC

  dba Stevanovic Family Clinic

  • Primary Care Clinic/Center
  • West Allis, WI
  • NPI 1508830076
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370044800000",
    "number": "1366503864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 W OKLAHOMA AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532274033",
            "telephone_number": "414-546-8000",
            "fax_number": "414-546-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 W OKLAHOMA AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532274033",
            "telephone_number": "414-546-8000",
            "fax_number": "414-546-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVANOVIC",
        "first_name": "TATJANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "2508-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Paul Stein, DPT
• Carolyn Mary Stein, PTA
• Lindsay K Steinberg, CNM, MSN, RN
• Stevanovic Clinics SC (Stevanovic Family Clinic)
• Nebojsa Stevanovic, MD
• Paul Ward Stevenson, M.D.
• Michael James Stoesz, MD
• David S Stolp, MD
• Jared Story
• Maria Stout

• Adult Health Nurse Practitioner in West Allis, WI
• Providers in West Allis, WI by specialty
• Adult Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.