Active NPI
Ervina Nix Gatling, MSW
- Social Worker
- Tallahassee, FL
National Provider Identifier
1134480015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ISW4770
- Practice address
- 1801 Miccosukee Commons Dr
Tallahassee, FL 32308-5433 - Phone
- (850) 219-4220
- Fax
- (850) 921-8997
- NPI assigned
- Jun 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ISW4770 | FL | Primary |
Addresses
Primary practice location
1801 Miccosukee Commons Dr
Tallahassee, FL 32308-5433
Mailing address
1801 Miccosukee Commons Dr
Tallahassee, FL 32308-5433
Phone (850) 219-4220
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW4770 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1134480015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 MICCOSUKEE COMMONS DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085433",
"telephone_number": "850-219-4220",
"fax_number": "850-921-8997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 MICCOSUKEE COMMONS DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085433",
"telephone_number": "850-219-4220",
"fax_number": "850-921-8997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATLING",
"first_name": "ERVINA",
"middle_name": "NIX",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-06",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "ISW4770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.