Erica Renee Gavin

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

135 W Main St
Chehalis, WA 98532-4817

Phone

(360) 748-3449

NPI assigned

Jan 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1396375002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W MAIN ST",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985324817",
            "telephone_number": "360-748-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W MAIN ST",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985324817",
            "telephone_number": "360-748-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "ERICA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Valentine Gallinger, O.D.
• David L Gano, MD
• Anita R Gantry Dotson, MS SLP A CCC
• Julie Garcia
• Damon Garnas
• Kristen Gavin, DO
• Marsha Anne Geeting
• Emily Martine Geiger, ARNP
• Marles Jean Geist, RN, ARNP
• Todd L Gentzler, P.T.

• Counselor in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.