Individual provider Active NPI

Elizabeth H Jarvis, MSN APN CNS

  • Adult Health Clinical Nurse Specialist
  • Sebastian, FL
National Provider Identifier
1760744080
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
SO1022 Issued in AR
Practice address
932 Spruce St
Sebastian, FL 32976-7324
Phone
(501) 837-5379
Fax
(949) 543-2914
NPI assigned
Jun 12, 2012
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X SO1022 AR Primary

Addresses

Primary practice location

932 Spruce St
Sebastian, FL 32976-7324

Mailing address

932 Spruce St
Sebastian, FL 32976-7324
Phone (501) 837-5379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210902000224 FL Practitioner - Certified Clinical Nurse Specialist (CNS) 0446471296 Reassigns benefits to 1 organization
Practice locations: Sebastian, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SO1022ARMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Intervention Associates LLC CurrentSince Jan 3, 2024 Accepting new patients

Locations

2502 Quincy Ave
Fort Pierce, FL 34947
Phone (561) 352-7413

777 37th St
Ste C103
Vero Beach, FL 32960
Phone (561) 567-7639

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1760744080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 SPRUCE ST",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329767324",
            "telephone_number": "501-837-5379",
            "fax_number": "949-543-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 SPRUCE ST",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329767324",
            "telephone_number": "501-837-5379",
            "fax_number": "949-543-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "ELIZABETH",
        "middle_name": "H",
        "credential": "MSN APN CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "AR",
            "license": "SO1022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.