Miranda Marie Gavina, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

352097 Issued in TX

Practice address

6901 67TH St Unit a
Lubbock, TX 79424-3039

Phone

(806) 316-6470

NPI assigned

May 7, 2021

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

State licenses

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1548844426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 20TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101228",
            "telephone_number": "903-532-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 67TH ST UNIT A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243039",
            "telephone_number": "806-316-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVINA",
        "first_name": "MIRANDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "352097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Gatica, LPC A
• Richard Eugene Gatlin, MHR, LPC
• Valeri Gail Gatlin, I.B.C.L.C., R.L.C.
• McKenzie Faith Gattis, PTA
• Dustin Gault, PTA
• Burnis Gayle, O.D.
• Allyson Gaylor, PHARM D
• Gba Holding Inc (IntegraCare Home Health and Hospice, Inc.)
• Dawit Gebremariam
• Robert L. Gee, LPC

• Licensed Vocational Nurse in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.