Active NPI
Stephanie J Navas, PA
- Medical Physician Assistant
- Dumfries, VA
National Provider Identifier
1255367199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110003202
- Practice address
- 3990 Fettler Park Dr
Dumfries, VA 22025-1997 - Phone
- (703) 445-8312
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110003202 | VA | Primary |
| Physician Assistant | 363A00000X | 10000297 | IN |
Addresses
Primary practice location
3990 Fettler Park Dr
Dumfries, VA 22025-1997
Mailing address
3990 Fettler Park Dr
Dumfries, VA 22025-1997
Phone (703) 445-8312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240313004136 | FL | Practitioner - Physician Assistant | 7113009911 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000297 | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Group Physicians Inc | Past | Accepting new patients | |
| Dispatchhealth-Florida Inc. | Past | Accepting new patients |
Interoperability endpoints
- snavas3902576@adventhealth.direct-ci.com
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Doral, FL
- NPI 1154097491
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1285673616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1255367199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3990 FETTLER PARK DR",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220251997",
"telephone_number": "703-445-8312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 FETTLER PARK DR",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220251997",
"telephone_number": "703-445-8312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVAS",
"first_name": "STEPHANIE",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110003202",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10000297",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dumfries, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.