Individual provider Active NPI

Kathleen Gavin, RN, APN,C

  • Occupational Health Registered Nurse
  • Branchburg, NJ
National Provider Identifier
1336148287
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Registered NurseTaxonomy code 163WX0106X
License
26NN04367100 Issued in NJ
Practice address
1 Millennium Way
Life Cell
Branchburg, NJ 08876-3876
Phone
(908) 202-6523
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Registered Nurse 163WX0106X 26NO04367100 NJ
Occupational Health Registered Nurse 163WX0106X 26NN04367100 NJ Primary

Addresses

Primary practice location

1 Millennium Way
Life Cell
Branchburg, NJ 08876-3876

Mailing address

37 Wallace Blvd
Hillsborough, NJ 08844-3438
Phone (908) 202-6523

Other names 1

  • Kathleen Gavin Professional name

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
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NN04367100NJMDOccupational Health Registered Nurse
26NO04367100NJMDOccupational Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1336148287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WALLACE BLVD",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088443438",
            "telephone_number": "908-202-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILLENNIUM WAY",
            "address_2": "LIFE CELL",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763876",
            "telephone_number": "908-202-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "RN, APN,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "NJ",
            "license": "26NO04367100",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "NJ",
            "license": "26NN04367100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "GAVIN",
            "credential": "RN, APN,C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Branchburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.