Individual provider Active NPI

Azira Javric

  • Attendant Care Provider
  • Lincoln, NE
National Provider Identifier
1265175350
Registry record updated Apr 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Practice address
612 Oregon TRL
Lincoln, NE 68521-3271
Phone
(402) 853-6144
NPI assigned
Apr 16, 2022
Last updated
Apr 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X NU Primary

Addresses

Primary practice location

612 Oregon TRL
Lincoln, NE 68521-3271

Mailing address

612 Oregon TRL
Lincoln, NE 68521-3271
Phone (402) 853-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lincoln

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1650067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650067200000",
    "number": "1265175350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 OREGON TRL",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685213271",
            "telephone_number": "402-853-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 OREGON TRL",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685213271",
            "telephone_number": "402-853-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVRIC",
        "first_name": "AZIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-16",
        "last_updated": "2022-04-16",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lincoln",
            "affiliation": "N",
            "address_1": "612 Oregon Trl",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685213271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.