CAROL GAVIN


Address: 2 Crisswell Ct, Sterling, VA 20165-5671
Phone: 5712831176

CAROL GAVIN (NPI# 1003289729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003289729
Entity Type Individual
Full Name CAROL GAVIN
Credential PMHNP
Practice Address 2 Crisswell Ct
Sterling
VA 20165-5671
Mailing Address 2 Crisswell Ct
Sterling
VIR 20165
UG
Practice Telephone 5712831176
Mailing Telephone 5712831176
Enumeration Date 2015-11-03
Last Update Date 2020-10-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
0024173036 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2 CRISSWELL CT
City STERLING
State VA
Zip Code 20165-5671

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164031779 Georgina Rose Chidaushe Nurse Practitioner 46760 Vermont Maple Ter, Sterling, VA 20164-2234 2020-07-29
1467660894 Chuks Nwaulu Nurse Practitioner 21335 Signal Hill Plz, Sterling, VA 20164-5562 2007-05-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578160875 Tricia Daigle Northington Nurse Practitioner 20213 Eagle Cove Ct, South Chesterfield, VA 23803-1097 2020-10-08
1114524543 Alliance Mental Health LLC Nurse Practitioner 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 2020-10-08
1699372060 Shari Chism Medley Nurse Practitioner 1088 Bagwell Dr, Scottsburg, VA 24589-2709 2020-10-07
1225635683 Kevina Boone Nurse Practitioner 5360 Discovery Park Blvd Ste 201, Williamsburg, VA 23188-2860 2020-10-07
1548876618 Jamie Kim Nurse Practitioner 3554 Chain Bridge Rd Ste 200, Fairfax, VA 22030-2709 2020-09-23
1134734957 Ai H Garner Nurse Practitioner 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 2020-09-09
1679185573 Shaping Your Future Psychiatry Nurse Practitioner 1534 Bateau Lndg, Chesapeake, VA 23321-6603 2020-08-20
1235749714 Germaine Kelley-pope Nurse Practitioner 622 Westover Hills Blvd, Richmond, VA 23225-4521 2020-08-09
1689292575 Harpreet Kang Nurse Practitioner 2925 Calcutt Dr, Midlothian, VA 23113-2682 2020-07-08
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Competitor

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City STERLING
Zip Code 20165

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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