Deborah Pavich, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60878829 Issued in WA

Practice address

21 NE Romance Hill Rd
Belfair, WA 98528-8315

Phone

(360) 277-2950

NPI assigned

Jan 24, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in WA, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dpavich590173@fhsce.catholichealth.net

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.

• Public Hospital District No 1 of Mason County

  • Critical Access Hospital
  • Shelton, WA
  • NPI 1760568752

  WA

  Medicare reassignment NPD
• Humboldt Family Medical Care

  • Rural Health Clinic/Center
  • McKinleyville, CA
  • NPI 1447287347

  CA

  Medicare reassignment NPD
• Public Hospital District No 1 of Mason County Wa

  • Clinic/Center
  • Shelton, WA
  • NPI 1316174774
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1255602199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 NE ROMANCE HILL RD",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985288315",
            "telephone_number": "360-277-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NE ROMANCE HILL RD",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985288315",
            "telephone_number": "360-277-2950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 Mountain View Dr",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "WA",
            "postal_code": "985844410",
            "country_code": "US",
            "telephone_number": "360-426-2653",
            "fax_number": "360-432-3586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVICH",
        "first_name": "DEBORAH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60878829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2112944",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpavich590173@fhsce.catholichealth.net",
            "affiliation": "N",
            "address_1": "21 NE ROMANCE HILL RD",
            "city": "BELFAIR",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985288315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpavich590173@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21 NE Romance Hill Rd",
            "city": "Belfair",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985288315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• North Mason School District
• Danielle Oliver, ARNP
• Katherine Opp, RN
• Laura M Opstedal, DPT
• Judy Ellen Patton, CDP
• Peninsula Community Health Services
• Peninsula Community Health Services
• Peninsula Community Health Services
• Peninsula Community Health Services
• Carey Allynn Pennington, L.AC., LMP

• All providers in Belfair, WA
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.

Verify at the official NPI Registry.