MEDICARE: JUDITH A. JARVIS CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	R085325	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	KBC1CH	OTHER	MD	CAREFIRST BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	S417-0020	OTHER	DC	CAREFIRST BCBS

General Provider Information

NPI Number	:	1982651139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH A. JARVIS CRNA

Provider Business Mailing Address
First Line	:	8901 ROCKVILLE PIKE
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20889-0001
Country	:	US
Telephone Number	:	301-295-4455
Fax Number	:

Provider Business Practice Location Address
First Line	:	8901 ROCKVILLE PIKE
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20889-0001
Country	:	US
Telephone Number	:	301-295-4455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	02/17/2026

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