MARY PAVIA
NPI 1700630779
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Q: What is Mary Pavia's NPI number?

The NPI number for Mary Pavia is 1700630779. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Q: What is Mary Pavia's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Pavia was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 15, 2024PECOS Enrolled

1414 LAUREL AVE APT L335, MINNEAPOLIS, MN 55403(612) 719-4168 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Pavia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY PAVIA (NPI 1700630779) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700630779

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARY PAVIA

Location Address1414 LAUREL AVE APT L335Minneapolis, MN 55403-1263

Mailing Address1414 Laurel Ave Apt L335Minneapolis, MN 55403-1263 · (612) 719-4168

Phone(612) 719-4168

Sole ProprietorYes

Enumeration DateApril 15, 2024

NPPES CertifiedApril 15, 2024

✔ NPI 1700630779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1414 LAUREL AVE APT L335, Minneapolis, MN 55403

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Pavia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Pavia's NPI number?

The NPI number for Mary Pavia is 1700630779. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Mary Pavia located?

Mary Pavia practices at 1414 Laurel Ave Apt L335, Minneapolis, MN 55403. The listed phone number is (612) 719-4168.

What is Mary Pavia's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mary Pavia enrolled in Medicare?

Yes. Mary Pavia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Pavia was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.