NPIMap

Organization Active NPI

Diabetes Concepts by Javins, Inc

  • Diabetes Educator Registered Nurse
  • Charleston, WV
National Provider Identifier
1689753501
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
40454 Issued in WV
Legal business name
DIABETES CONCEPTS BY JAVINS, INC
Practice address
300 Association Dr
Suite 320, North Gate Business Park
Charleston, WV 25311-1269
Phone
(304) 344-3171
Fax
(304) 344-3178
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Elaine Jerry Javins, RN, BSN, CDE, CPTNPI 1699965210
Title
President
Phone
(304) 344-3171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WD0400X 40454 WV Primary

Addresses

Primary practice location

300 Association Dr
Suite 320, North Gate Business Park
Charleston, WV 25311-1269

Mailing address

300 Association Dr
Suite 320, North Gate Business Park
Charleston, WV 25311-1269
Phone (304) 344-3171

Other identifiers 1

IdentifierTypeStateIssuer
3810004840MedicaidWV

National Provider Directory

National Provider Directory

Locations

300 Association Dr
Ste 320
Charleston, WV 25311
Phone (304) 344-3171

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689753501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ASSOCIATION DR",
            "address_2": "SUITE 320, NORTH GATE BUSINESS PARK",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111269",
            "telephone_number": "304-344-3171",
            "fax_number": "304-344-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ASSOCIATION DR",
            "address_2": "SUITE 320, NORTH GATE BUSINESS PARK",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111269",
            "telephone_number": "304-344-3171",
            "fax_number": "304-344-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES CONCEPTS BY JAVINS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAVINS",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-344-3171",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN, CDE, CPT"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "WV",
            "license": "40454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004840",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.