Active NPI
Annette Javier
- Athletic Trainer
- Valley Stream, NY
National Provider Identifier
1356089122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1606737222
- Practice address
- 142 E Saint Marks PL
Valley Stream, NY 11580-4418 - Phone
- (516) 312-8979
- NPI assigned
- May 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1606737222 | NY | Primary |
Addresses
Primary practice location
142 E Saint Marks PL
Valley Stream, NY 11580-4418
Mailing address
142 E Saint Marks PL
Valley Stream, NY 11580-4418
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1606737222 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1356089122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 E SAINT MARKS PL",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115804418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 E SAINT MARKS PL",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115804418",
"telephone_number": "516-312-8979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAVIER",
"first_name": "ANNETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-23",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "1606737222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.