Organization Active NPI

Gainesville Woman Care, LLC

Doing business as Bread and Roses Well Woman Care

  • Ambulatory Family Planning Facility
  • Gainesville, FL
National Provider Identifier
1093574105
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
Legal business name
GAINESVILLE WOMAN CARE, LLC
Doing business as
Bread and Roses Well Woman Care
Practice address
1233 NW 10TH Ave
Gainesville, FL 32601-4154
Phone
(352) 372-1664
Fax
(352) 372-3222
NPI assigned
Mar 19, 2024
Last updated
Mar 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kristin Davy
Title
Director
Phone
(352) 372-1664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X Primary

Addresses

Primary practice location

1233 NW 10TH Ave
Gainesville, FL 32601-4154

Mailing address

1233 NW 10TH Ave
Gainesville, FL 32601-4154
Phone (352) 372-1664

Other names 1

  • Bread and Roses Well Woman Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0973575Bread and Roses Well Woman Care1233 NW 10TH Ave, Gainesville, FL 32601ComplianceMay 21, 2028

National Provider Directory

National Provider Directory

Locations

1233 NW 10th Ave
Gainesville, FL 32601
Phone (352) 372-1664

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1093574105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 NW 10TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014154",
            "telephone_number": "352-372-1664",
            "fax_number": "352-372-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 NW 10TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014154",
            "telephone_number": "352-372-1664",
            "fax_number": "352-372-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE WOMAN CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "DAVY",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-372-1664",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bread and Roses Well Woman Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.