Individual provider Active NPI

Vanja Josipovic, OTD, OTR/L

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1871190702
Registry record updated Oct 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-2540 Issued in NV
Practice address
366 E Mesa Verde LN
Las Vegas, NV 89123-1812
Phone
(702) 227-4477
NPI assigned
Oct 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 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 OT-2540 NV Primary

Addresses

Primary practice location

366 E Mesa Verde LN
Las Vegas, NV 89123-1812

Mailing address

8693 Blakely CT
Las Vegas, NV 89148-1465
Phone (702) 994-8008

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
OT-2540NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Siran-Loughery Otr/L Inc. Occupational Therapist PastSince Oct 11, 2020 Accepting new patients

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": "1601769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601769600000",
    "number": "1871190702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8693 BLAKELY CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481465",
            "telephone_number": "702-994-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 E MESA VERDE LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231812",
            "telephone_number": "702-227-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSIPOVIC",
        "first_name": "VANJA",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-2540",
            "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 Oct 4, 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.