Active NPI
Debra S G Javins, PAC
- Physician Assistant
- Windsor Mill, MD
National Provider Identifier
1710055124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0000946
- Practice address
- 7141 Security Blvd
Windsor Mill, MD 21244-1811 - Phone
- (443) 663-6412
- Fax
- (443) 663-6411
- NPI assigned
- Dec 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0000946 | MD | Primary |
Addresses
Primary practice location
7141 Security Blvd
Windsor Mill, MD 21244-1811
Mailing address
2101 East Jefferson Street Ppqa Medicare Compliance Uni
Kaiser Permanente Mid Atlantic Permanente Medical Group
Rockville, MD 20852
Phone (301) 816-6660
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0000946 | MD | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324598400000",
"number": "1710055124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNI",
"address_2": "KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20852",
"telephone_number": "301-816-6660",
"fax_number": "301-816-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7141 SECURITY BLVD",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212441811",
"telephone_number": "443-663-6412",
"fax_number": "443-663-6411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAVINS",
"first_name": "DEBRA",
"middle_name": "S G",
"name_prefix": "Ms.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2011-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0000946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor Mill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.