Active NPI
Noel M. Jarvis, MD
- Psychiatry Physician
- Amery, WI
National Provider Identifier
1528115722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 54707-20
- Practice address
- 230 Deronda St
Amery, WI 54001-1412 - Phone
- (715) 268-0060
- Fax
- (715) 268-0061
- NPI assigned
- Jan 3, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD24856 | OR | |
| Psychiatry Physician | 2084P0800X | 54707-20 | WI | Primary |
Addresses
Primary practice location
230 Deronda St
Amery, WI 54001-1412
Mailing address
265 Griffin St. East
Amery, WI 54001-1439
Phone (715) 268-8000
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD24856 | OR | MD | Psychiatry Physician |
| 54707-20 | WI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1528115722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 GRIFFIN ST. EAST",
"city": "AMERY",
"state": "WI",
"postal_code": "540011439",
"telephone_number": "715-268-8000",
"fax_number": "715-268-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 DERONDA ST",
"city": "AMERY",
"state": "WI",
"postal_code": "540011412",
"telephone_number": "715-268-0060",
"fax_number": "715-268-0061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "NOEL",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD24856",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "54707-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amery, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.