ARIEL JADE MUJAKOVIC (NPI# 1730641879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730641879 |
| Entity Type | Individual |
| Full Name | ARIEL JADE MUJAKOVIC |
| Practice Address |
1151 W 9th St Russellville KY 42276-9760 |
| Mailing Address |
Po Box 1258 Waynesboro TN 38485-1258 |
| Practice Telephone | 2708474033 |
| Practice Fax Number | 2708474151 |
| Mailing Telephone | 9312531110 |
| Mailing Fax Number | 9312531190 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 3013210 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3013210 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1151 W 9TH ST |
| City | RUSSELLVILLE |
| State | KY |
| Zip Code | 42276-9760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730688979 | Renee Anastasia Miller | Registered Nurse | 1151 W 9th St, Russellville, KY 42276-9760 | 2018-02-02 |
| 1467000109 | Sydney Caron | Nurse Practitioner | 1151 W 9th St, Russellville, KY 42276-9760 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497302723 | Community Health Centers of Western Kentucky Inc | Family Medicine | 1497 Nashville Road, Russellville, KY 42276 | 2019-08-21 |
| 1104471911 | Lashawnda Lee | Nurse Practitioner | 60 Shelton Lane, Russellville, KY 42276 | 2019-08-08 |
| 1003940867 | Russellville Ind. Schools | Local Education Agency (LEA) | 355 S Seminary St, Russellville, KY 42276 | 2007-03-15 |
| 1083756217 | Robert Ellis Allison | Dentist | 248 East 5th Street, Russellville, KY 42276 | 2007-02-13 |
| 1578602033 | Acsr, Inc. | Clinic/Center | 3239 Lewisburg Rd, Russellville, KY 42276 | 2007-02-05 |
| 1568535250 | David Guion | Pharmacist | 153 Park Square Nw, Russellville, KY 42276 | 2006-11-17 |
| 1144339177 | Dale Woodall Clark | Dentist | 204 East Fourth St, Russellville, KY 42276 | 2006-08-30 |
| 1033120662 | Darla Sherrod Barrow | Optometrist | 709 East 4th St, Russellville, KY 42276 | 2006-08-10 |
| 1265405005 | Varsha Humble | Pediatrics | 1497 Nashville St, Russellville, KY 42276 | 2006-02-10 |
| 1235139247 | Darla Sherrod Barrow | Optometrist | 709 East 4th Street, Russellville, KY 42276 | 2005-08-01 |
| Find all providers in zip 42276 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104471911 | Lashawnda Lee | Nurse Practitioner | 60 Shelton Lane, Russellville, KY 42276 | 2019-08-08 |
| 1649731829 | Haley Shaleigh Knight | Nurse Practitioner | 15225 Highway 43 Ste I, Russellville, AL 35653-1969 | 2019-03-28 |
| 1427516418 | Hanna Helich Henderson | Nurse Practitioner | 1040 Beth Dr, Russellville, TN 37860-8985 | 2019-03-08 |
| 1669979530 | Robin Lenora Franke | Nurse Practitioner | 3127 W 2nd Ct Ste B, Russellville, AR 72801-4566 | 2018-04-09 |
| 1679024798 | Teresa Anne Distler | Nurse Practitioner | 12103 County Line Rd, Russellville, MO 65074-2814 | 2016-10-24 |
| 1487003364 | Robert Barnowsky | Nurse Practitioner | 101 James N Hovater Rd, Russellville, AL 35653-0626 | 2016-06-10 |
| 1457706012 | Sarah Baxley | Nurse Practitioner | 106 Weir Rd, Ste 4, Russellville, AR 72802-9445 | 2016-05-02 |
| 1720385545 | Robin Michelle Joslin | Nurse Practitioner | 1605 Coliseuam Drive Doc Bryan Building, Suite 119, Russellville, AR 72801 | 2011-02-14 |
| 1710116066 | Family Medical Clinic LLC | Nurse Practitioner | 1355 George Wallace Hwy, Russellville, AL 35654-3281 | 2009-07-08 |
| 1821245069 | Agalia Renea Baker | Nurse Practitioner | 350 Walleye Dr, Russellville, AR 72802-7282 | 2008-08-19 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 42276 |
Please comment or provide details below to improve the information on ARIEL JADE MUJAKOVIC.
| 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.