BRANKICA PODRAVAC (NPI# 1225414410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225414410 |
Entity Type | Individual |
Full Name | BRANKICA PODRAVAC |
Credential | CRNP |
Practice Address |
535 Marmion Ave Youngstown OH 44502 |
Mailing Address |
320 High St Ne Warren OH 44481-1222 |
Practice Telephone | 3307825664 |
Mailing Telephone | 3303949090 |
Enumeration Date | 2015-08-11 |
Last Update Date | 2019-01-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
COA 17917 NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0154636 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3000 Erie St S, Massillon, OH 446467976 | 3308333135 |
Street Address |
535 MARMION AVE |
City | YOUNGSTOWN |
State | OH |
Zip Code | 44502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730168287 | Christopher M Kalinyak | Nurse Practitioner | 535 Marmion Ave, Youngstown, OH 44502-2323 | 2006-01-12 |
1497356349 | Monica Bartley | Case Manager/Care Coordinator | 535 Marmion Ave, Youngstown, OH 44502-2323 | 2020-11-06 |
1518578863 | Rachel Wallace | Case Manager/Care Coordinator | 535 Marmion Ave, Youngstown, OH 44502-2323 | 2020-08-11 |
1841815891 | Taryn D'alesandro | Case Manager/Care Coordinator | 535 Marmion Ave, Youngstown, OH 44502-2323 | 2020-06-15 |
1669092268 | Lorie J Taylor | Counselor | 535 Marmion Ave, Youngstown, OH 44502-2323 | 2020-04-23 |
1235774944 | Shannon Counts | Case Manager/Care Coordinator | 535 Marmion Ave, Youngstown, OH 44502-2323 | 2019-11-18 |
1750930657 | Kristyn Macala | Counselor | 535 Marmion Ave, Youngstown, OH 44502-2323 | 2019-09-04 |
1407404080 | Jasmine Jones | Case Manager/Care Coordinator | 535 Marmion Ave, Youngstown, OH 44502-2323 | 2019-08-28 |
1013577188 | Jasmine Smith | Licensed Practical Nurse | 535 Marmion Ave, Youngstown, OH 44502-2323 | 2019-06-19 |
1932767662 | Rasheeda Kalam | Case Management | 535 Marmion Ave, Youngstown, OH 44502-2323 | 2019-05-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508484189 | Kyle Dalton Flora | Specialist/Technologist | 577 5th Ave Rm 1103, Youngstown, OH 44502 | 2020-07-09 |
1700449568 | Lil Indian's Mobile Meals LLC | Meals | 3662 Loveland Rd., Youngstown, OH 44502 | 2019-04-17 |
1588155162 | Luke Cantin | Specialist/Technologist | 577 5th Ave, Youngstown, OH 44502 | 2018-05-19 |
1104377464 | Jessica Slaughter | Physical Therapist | 299 Edward Street, Youngstown, OH 44502 | 2016-10-20 |
1295147585 | Willow Claims Processing, LLC | Case Management | 507 Oak Hill Avenue, 551 New Court, Youngstown, OH 44502 | 2014-05-21 |
1821413717 | Amy Woodford | Speech-Language Pathologist | 50 Essex Street, Youngstown, OH 44502 | 2014-02-28 |
1710318282 | Ursuline Center | Clinic/Center | 345 Oak Hill Ave Ste 200, Youngstown, OH 44502 | 2013-12-09 |
1275891087 | Michael K Lemaster | Counselor | 4949 Urbana Road, Suite 201, Springfield, OH 44502 | 2012-04-30 |
1407027378 | Youngstown City Health District | Internal Medicine | 345 Oak Hill Avenue, Youngstown, OH 44502 | 2008-03-18 |
1427136431 | Rebecca Ann Nelis | Social Worker | 611 Belmont Avenue, Youngstown, OH 44502 | 2006-11-01 |
Find all providers in zip 44502 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144706821 | Angela D Peachock | Nurse Practitioner | Serenity Center, 8440 Market St., Youngstown, OH 44512-6702 | 2018-07-16 |
1730168287 | Christopher M Kalinyak | Nurse Practitioner | 535 Marmion Ave, Youngstown, OH 44502-2323 | 2006-01-12 |
1720610082 | Tracey Lynn Rusnak | Nurse Practitioner | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-02-05 |
1699326637 | Madison Ivy Taylor | Nurse Practitioner | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2019-09-20 |
1265088199 | Heather Ashley Dawson | Nurse Practitioner | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2019-08-15 |
1720560634 | Shiloh Dawn Mcfarland | Nurse Practitioner | 196 Colonial Dr, Youngstown, OH 44505-2139 | 2018-09-06 |
1154870590 | John Blackwell | Nurse Practitioner | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2016-09-27 |
1831446863 | Melinda Michele Smith | Nurse Practitioner | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2012-08-09 |
1598048563 | Natalie G Kozicky | Nurse Practitioner | 1011 Boardman Canfield Rd, Youngstown, OH 44512-4226 | 2011-09-26 |
1871773937 | Renee Marie Minotti | Nurse Practitioner | 2031 Belmont Ave, Youngstown, OH 44505-2401 | 2007-11-06 |
Find all providers in YOUNGSTOWN |
City | YOUNGSTOWN |
Zip Code | 44502 |
Please comment or provide details below to improve the information on BRANKICA PODRAVAC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.