Individual provider Active NPI

Daisy Margaret Stikovac, M.D.

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1659450559
Registry record updated Mar 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21443 Issued in NV
Practice address
3615 W Charleston Blvd
Las Vegas, NV 89102-1842
Phone
(702) 508-9461
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 36329 KY
Psychiatry Physician 2084P0800X 21443 NV Primary

Addresses

Primary practice location

3615 W Charleston Blvd
Las Vegas, NV 89102-1842

Mailing address

11340 Hedgemont Ave
Las Vegas, NV 89138-7594
Phone (502) 533-7603

Other practice location 1

9710 Park Plaza Ave
suite 205
Louisville, KY 40241-2291
Phone (502) 426-2326

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36329KYMDPsychiatry Physician
21443NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Specialists PSC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3402/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647648000000",
    "number": "1659450559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11340 HEDGEMONT AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891387594",
            "telephone_number": "502-533-7603",
            "fax_number": "502-228-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021842",
            "telephone_number": "702-508-9461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9710 Park Plaza Ave",
            "address_2": "suite 205",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402412291",
            "country_code": "US",
            "telephone_number": "502-426-2326",
            "fax_number": "502-426-2346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIKOVAC",
        "first_name": "DAISY",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "36329",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "21443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; 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.