ROGER LOUIS GAVI (NPI# 1770814915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770814915 |
Entity Type | Individual |
Full Name | ROGER LOUIS GAVI |
Credential | RN |
Practice Address |
3604 Cameo Dr Se Albuquerque NM 87105-0204 |
Practice Telephone | 5053401171 |
Mailing Telephone | 5053401171 |
Enumeration Date | 2010-01-28 |
Last Update Date | 2010-01-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WG0600X |
Registered Nurse Specialization: Gerontology |
R59159 | NM | Nursing Service Providers |
N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
R59159 | NM | Nursing Service Providers |
Street Address |
3604 CAMEO DR SE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87105-0204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588278063 | Jacob Hill | Rehabilitation Practitioner | 2001-b El Centro Familiar Blvd Se, Albuqerque, NM 87105 | 2020-09-02 |
1083264824 | Kacie Rhodes | Technician | 515 Isleta Blvd Sw, Albuquerque, NM 87105 | 2019-09-13 |
1043870454 | Equal LLC | Assisted Living Facility | 207 Lagunitas Lane, Albuquerque, NM 87105 | 2019-06-18 |
1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
1316439920 | Deann Nieto | Rehabilitation Practitioner | 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 | 2018-05-31 |
1487163457 | Karen Bejarano | Behavior Technician | 1847 Val Verde Rd Sw, Albuquerque, NM 87105 | 2017-09-21 |
1306360391 | Bendiciones Home Health Care | Home Health | 5500 Cleo Rd. Sw, Albuquerque, NM 87105 | 2017-08-01 |
1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
1386024727 | Rachel Elaine Kadetz | Counselor | 1101 Lopez Rd. Sw, Albuquerque, NM 87105 | 2015-06-01 |
1598160772 | Sandra Jean Taylor | Lactation Consultant, Non-RN | 1305 Blake Rd Sw, Albuquerque, NM 87105 | 2014-10-30 |
Find all providers in zip 87105 |
Taxonomy Code | 163WG0600X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639505712 | Rio Grande Geriatrics and Family Practice LLC | Registered Nurse | 8328 Cascade Park Ave Nw, Albuquerque, NM 87120-6523 | 2013-09-19 |
1255480828 | Sara Louise Santilli | Registered Nurse | 4253 Montgomery Blvd Ne, Suite 100, Albuquerque, NM 87109-1106 | 2007-01-10 |
City | ALBUQUERQUE |
Zip Code | 87105 |
Please comment or provide details below to improve the information on ROGER LOUIS GAVI.
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.