MR. MICHAEL SCOTT GAVIGAN (NPI# 1184195083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184195083 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL SCOTT GAVIGAN |
| Credential | APRN |
| Practice Address |
1314 Oak St Melbourne FL 32901 |
| Mailing Address |
1314 Oak St Melbourne FL 32901-3111 |
| Practice Telephone | 3217277992 |
| Practice Fax Number | 3217277664 |
| Mailing Telephone | 3217277992 |
| Mailing Fax Number | 3217277664 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | APRN11000603 | FL | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | 11000603 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 025119800 | 05 | |
| FL | MEDICARE | KS071 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1710 Hubbard Dr, Rockledge, FL 329553021 | 3218068046 | |
| 1350 Hickory St, Melbourne, FL 329013224 | 3217277992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588779607 | Michael K Gavigan | Podiatrist | 4 Barlows Landing Rd, Suite #17, Pocasset, MA 02559-1980 | 2006-08-20 |
| 1033272752 | Michael David Gavigan | Obstetrics & Gynecology | 105 Mark Dr, Edenton, NC 27932-1704 | 2006-12-18 |
| Street Address |
1314 OAK ST |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131145 | Ashish Mahindra | Internal Medicine | 1314 Oak St, Melbourne, FL 32901-3111 | 2005-08-10 |
| 1477194611 | Travis Alford | Nurse Practitioner | 1314 Oak St, Melbourne, FL 32901-3111 | 2019-09-30 |
| 1558866574 | Natasha Gomes | Nurse Practitioner | 1314 Oak St, Melbourne, FL 32901 | 2018-03-30 |
| 1952818650 | Jordan Wiles | Nurse Practitioner | 1314 Oak St, Melbourne, FL 32901-3111 | 2018-01-03 |
| 1902258775 | Lisa Linder | Hospitalist | 1314 Oak St, Melbourne, FL 32901-3111 | 2016-07-06 |
| 1295107035 | Rebecca Uma Clark | Nurse Practitioner | 1314 Oak St, Melbourne, FL 32901 | 2015-10-20 |
| 1144660424 | Jose Valentin | Physician Assistant | 1314 Oak St, Melbourne, FL 32901-3111 | 2013-07-01 |
| 1285973453 | Robin Wendee Turinetti | Nurse Practitioner | 1314 Oak St, Melbourne, FL 32901-3111 | 2013-02-07 |
| 1174861405 | Acksa Chacko Kucharyson | Physician Assistant | 1314 Oak St, Melbourne, FL 32901-3111 | 2013-01-22 |
| 1508162645 | Sara Nicole Nilius | Physician Assistant | 1314 Oak St, Melbourne, FL 32901-3111 | 2011-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105411 | Nina Teresa Solar | Nurse Practitioner | 129 W Hibiscus Blvd Ste A, Melbourne, FL 32901-3006 | 2020-08-17 |
| 1629686415 | Johanna B Pillado | Nurse Practitioner | 1800 Brookshire Cir, Melbourne, FL 32904-6670 | 2020-07-17 |
| 1659900181 | Lindsay Hayes | Nurse Practitioner | 1681 Wekiva Dr, Melbourne, FL 32940-6986 | 2020-04-06 |
| 1548808439 | Robert Mathew Johnson | Nurse Practitioner | 4898 Erin Ln, Melbourne, FL 32940-7156 | 2019-12-11 |
| 1619533940 | Jessica Nicole Bartlett | Nurse Practitioner | 3021 W Eau Gallie Blvd Ste 102, Melbourne, FL 32934-7005 | 2019-05-13 |
| 1811476450 | Ashley Ricks Hampton | Nurse Practitioner | 1070 Cayman Dr, Melbourne, FL 32901-8645 | 2018-08-13 |
| 1245752070 | Morgan Brittany Shirley | Nurse Practitioner | 1019 E. Main St., Melbourne, AR 72556 | 2017-07-13 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1699058263 | Deborah Susan Coon | Nurse Practitioner | 1223 Gateway Dr Ste 1f, Melbourne, FL 32901-2607 | 2011-09-21 |
| 1043509300 | Elizabeth Marie Ambrose | Nurse Practitioner | 1223 Gateway Drivie, Suite 1c, Melbourne, FL 32901-2607 | 2011-04-06 |
| Find all providers in MELBOURNE | ||||
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| 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.