Individual provider Active NPI

Kayla Diane Gavit, RN

  • Home Health Registered Nurse
  • Sault Sainte Marie, MI
National Provider Identifier
1114630704
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
4704313485 Issued in MI
Practice address
1805 Chestnut St
Sault Sainte Marie, MI 49783-1305
Phone
(906) 430-7118
NPI assigned
Dec 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 4704313485 MI Primary

Addresses

Primary practice location

1805 Chestnut St
Sault Sainte Marie, MI 49783-1305

Mailing address

1805 Chestnut St
Sault Sainte Marie, MI 49783-1305
Phone (906) 430-7118

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kayla66852@live.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704313485MIMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1114630704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 CHESTNUT ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831305",
            "telephone_number": "906-430-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 CHESTNUT ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831305",
            "telephone_number": "906-430-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIT",
        "first_name": "KAYLA",
        "middle_name": "DIANE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704313485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kayla66852@live.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "1805 Chestnut St",
            "city": "Sault Sainte Marie",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497831305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sault Sainte Marie, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.