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Export Provider Record NPI 1184194813
Abby Ruth VladikaAPN
Active
NPI Number1184194813
NPI TypeNPI-1 Individual
SpecialtyNurse Practitioner, Family
Provider Details
NPI1184194813
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2018-11-26
Last Updated2020-10-19
Mailing Address530 Park Ave E
Princeton, IL 61356-3901
United States
Phone: (815) 875-4531
📍 View Map
Primary Practice Address535 Park Ave E
Princeton, IL 61356-2537
United States
Phone: (815) 875-4531 | Fax: (815) 876-2118
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDIL209018454-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363LF0000X – Nurse Practitioner, FamilyIL209018454
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About NPI 1184194813

Abby Ruth Vladika APN is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1184194813. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Princeton, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-11-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1184194813?

NPI 1184194813 belongs to Abby Ruth Vladika APN, a Nurse Practitioner, Family in Princeton, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1184194813 active?

The current status of NPI 1184194813 in the NPPES registry is Active. The record was last updated on 2020-10-19.

What specialty is NPI 1184194813?

NPI 1184194813 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1184194813?

You can verify NPI 1184194813 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1184194813?

The primary practice address on file for NPI 1184194813 is 535 Park Ave E, Princeton, IL 61356-2537. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1184194813 issued?

NPI 1184194813 was first issued (enumerated) on 2018-11-26. The NPPES record was last updated on 2020-10-19.

Practice Location Map

Abby Ruth Vladika is located at 535 Park Ave E, Princeton, IL. Use the map below to find directions or verify the practice location.

📍 535 Park Ave E, Princeton, IL 61356-2537  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Abby Ruth Vladika. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1184194813. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner, Family209018454IL
Data Verified from CMS NPPES Last synced: 2026-07-11 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162