MICHELE JAVADPOOR DNP AGPCNP-BC NPI 1124422951

NPI Information

NPI: 1124422951
Provider Name: MICHELE JAVADPOOR, DNP, AGPCNP-BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
819 WORCESTER ST STE 3
SPRINGFIELD, MA
ZIP 01151
Phone: (413) 543-6820
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Michele Javadpoor, DNP, AGPCNP-BC is a gerontology nurse practitioner in Springfield, MA. Michele Javadpoor, DNP, AGPCNP-BC NPI is 1124422951. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

819 WORCESTER ST STE 3
SPRINGFIELD, MA
ZIP 01151-056
Phone: (413) 543-6820
Fax: (413) 543-7962

The NPI 1124422951 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/22/2014 and was last updated on 6/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		26NJ00719500	NEW JERSEY	No
2	363LA2200X	Nurse Practitioner	Adult Health	2300692	MASSACHUSETTS	No
3	363LG0600X	Nurse Practitioner	Gerontology	2300692	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICAID	MASSACHUSETTS
2	PENDING	MEDICARE UPIN	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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