Active NPI
Jacob T. Navarro, CRNA
- Certified Registered Nurse Anesthetist
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0001202139
- Practice address
- 1701 N George Mason Dr
Suite 2D
Arlington, VA 22205-3610 - Phone
- (703) 558-5000
- Fax
- (517) 787-1027
- NPI assigned
- Nov 30, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN1016945 | DC | |
| Certified Registered Nurse Anesthetist | 367500000X | 0001202139 | VA | Primary |
Addresses
Primary practice location
1701 N George Mason Dr
Suite 2D
Arlington, VA 22205-3610
Mailing address
1701 N George Mason Dr
Suite 2D
Arlington, VA 22205-3610
Phone (703) 558-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1918 Randolph Rd
Suite 740
Charlotte, NC 28207-1167
Phone (704) 316-0810
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001202139 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Raleigh Sedation Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Providence Anesthesiology Associates, P.a. | Current | Accepting new patients |
Locations
1500 Concord Ter
Fl 5
Sunrise, FL 33323
Phone (954) 384-0175
1505 SW Cary Pkwy
Ste 202
Cary, NC 27511
Phone (919) 249-5087
131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101
1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705
2417 Atrium Dr
Ste 101
Raleigh, NC 27607
Phone (919) 249-5216
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
8300 Health Park
Ste 210
Raleigh, NC 27615
Phone (919) 249-5902
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1396739884
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Raleigh, NC
- NPI 1639698533
Nurse Anesthetist, Certified Registered
-
dba Carolina Pain Consultants
- Pain Medicine (Anesthesiology) Physician
- Wake Forest, NC
- NPI 1942248547
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Durham, NC
- NPI 1437221785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1174890438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 N GEORGE MASON DR",
"address_2": "SUITE 2D",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222053610",
"telephone_number": "703-558-5000",
"fax_number": "517-787-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N GEORGE MASON DR",
"address_2": "SUITE 2D",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222053610",
"telephone_number": "703-558-5000",
"fax_number": "517-787-1027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVARRO",
"first_name": "JACOB",
"middle_name": "T.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-30",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "DC",
"license": "RN1016945",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0001202139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
- National Capital Treatment and Recovery
- National Rehabilitaiton Hospital,Inc (MedStar Health Physical Therapy at Ballston-Marymount)
- National Rehabilitation Hospital, Inc (MedStar Health Physical Therapy)
- National Sleep Center, PLC
- Maria Bella G Natividad, M.D.
- Nadezhda Naydenov
- Ginger Naylor Willard, HEATH COACH
- Zahra Nazarimehrvarani
- Melissa Nkemamin Ndialehloh, PHARMACIST
- Kenneth W Neal Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.